Individual
EDGAR SHAHNAZARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LEP
Contact information
Practice address
260 NEWPORT CENTER DR STE 505, NEWPORT BEACH, CA 92660-7520
(424) 375-6193
Mailing address
260 NEWPORT CENTER DR STE 505, NEWPORT BEACH, CA 92660-7520
(424) 375-6193
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4232
CA
Other
Enumeration date
12/20/2024
Last updated
12/20/2024
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