Organization
SHAFA PSYCHIATRIC & CONSULTING CENTER APC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GOHAR KHOSRAVI (CEO)
(657) 341-4422
Entity
Organization
Contact information
Practice address
16960 BASTANCHURY RD STE J, YORBA LINDA, CA 92886-1711
(714) 693-1055
Mailing address
1400 N KRAEMER BLVD UNIT 171, PLACENTIA, CA 92871-1408
(165) 734-1442
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
04/12/2023
Last updated
04/14/2023
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