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Organization

HEAL PSYCHIATRIC SERVICES, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. FARZANA AMIN M.D. (C.E.O.)
(650) 273-4082
Entity
Organization

Contact information

Practice address
1710 S AMPHLETT BLVD, SUITE 301, SAN MATEO, CA 94402-2703
(650) 273-4082
(650) 275-7559
Mailing address
1710 S AMPHLETT BLVD, SUITE 301, SAN MATEO, CA 94402-2703
(650) 273-4082
(650) 275-7559

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
A95033
CA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
A95033
CA

Other

Enumeration date
04/06/2016
Last updated
06/04/2016
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