Organization
ALIGN REMEDY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAHRZAD JALALI BIDGOLI PSYD (PRESIDENT AND CEO)
(310) 849-0801
Entity
Organization
Contact information
Practice address
260 NEWPORT CENTER DR STE 206, NEWPORT BEACH, CA 92660-7520
(310) 849-0801
Mailing address
260 NEWPORT CENTER DR STE 206, NEWPORT BEACH, CA 92660-7520
(310) 849-0801
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/08/2023
Last updated
12/11/2024
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