Individual
DR. BADRI MOGHADAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
4000 BARRANCA PKWY STE 250, IRVINE, CA 92604-1713
(949) 742-2347
(949) 679-7595
Mailing address
4000 BARRANCA PKWY STE 250, IRVINE, CA 92604-1713
(949) 742-2347
(949) 679-7595
Taxonomy
Speciality
Code
Description
License number
State
103TF0000X
Family Psychologist
Primary
20119
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
820516286
—
CA
Enumeration date
08/30/2006
Last updated
12/05/2019
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