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Organization
SHORELINE MENTAL HEALTH, INC
Active
Organization
SHORELINE MENTAL HEALTH, INC
Active
Other names
Shoreline Mental Health, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ZARA ASHIKYAN PH.D (CEO)
(562) 493-6799
Entity
Organization
Contact information
Practice address
610 PACIFIC COAST HWY STE 201, SEAL BEACH, CA 90740-6650
(562) 493-6799
(562) 493-6578
Mailing address
610 PACIFIC COAST HWY STE 201, SEAL BEACH, CA 90740-6650
(562) 493-6799
(562) 493-6578
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
PSY21081
CA
2084P0800X
Psychiatry Physician
Primary
A117029
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2107587
HEALTHNET
CA
01
—
2325680
HEALTHNET
CA
01
—
2357845
HEALTHNET
CA
Enumeration date
11/13/2017
Last updated
11/13/2017
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