Basic Information
| Provider Information | |||||||||
| NPI: | 1730393463 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | COMMUNITY FAMILY GUIDANCE CENTER | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8120 IOWA ST | ||||||||
| Address2: | SUITE 201 | ||||||||
| City: | DOWNEY | ||||||||
| State: | CA | ||||||||
| PostalCode: | 90241 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5629044815 | ||||||||
| FaxNumber: | 5629233273 | ||||||||
| Practice Location | |||||||||
| Address1: | 8320 IOWA ST | ||||||||
| Address2: | SUITE 201 | ||||||||
| City: | DOWNEY | ||||||||
| State: | CA | ||||||||
| PostalCode: | 90241 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5629044815 | ||||||||
| FaxNumber: | 5629233273 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/10/2007 | ||||||||
| LastUpdateDate: | 07/17/2018 | ||||||||
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| AuthorizedOfficialLastName: | ZANDI | ||||||||
| AuthorizedOfficialFirstName: | ALI | ||||||||
| AuthorizedOfficialMiddleName: | |||||||||
| AuthorizedOfficialTitleorPosition: | COUNSLER | ||||||||
| AuthorizedOfficialTelephone: | 5629044815 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MR. | ||||||||
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| AuthorizedOfficialCredential: | IMF | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251S00000X | IMF53246 | CA | Y | Agencies | Community/Behavioral Health |
No ID Information.