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Organization

RADIANT PATH THERAPY AND PSYCHIATRY MEDICAL CORPORATION

Active
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Organization

RADIANT PATH THERAPY AND PSYCHIATRY MEDICAL CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LANDON S EHTESHAMZADEH (CEO)
(909) 577-1123
Entity
Organization

Contact information

Practice address
4226 GREEN RIVER RD STE 201, CORONA, CA 92878-3829
(909) 577-1123
Mailing address
308 W STATE ST STE 3D, REDLANDS, CA 92373-4653
(909) 577-1123

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
2084P0800X
Psychiatry Physician
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—

Other

Enumeration date
08/05/2026
Last updated
08/05/2026
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