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Organization

DR. JALALI AND ASSOCIATES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SHAHRZAD JALALI BIDGOLI PYSD (CLINICAL PSYCHOLOGIST/PRESIDENT)
(310) 849-0801
Entity
Organization

Contact information

Practice address
180 NEWPORT CENTER DR STE 270D, NEWPORT BEACH, CA 92660-6972
(310) 849-0801
Mailing address
3395 MICHELSON DR APT 5211, IRVINE, CA 92612-3435
(310) 849-0801

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
27593
CA

Other

Enumeration date
10/20/2017
Last updated
10/20/2017
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