E&T BEHAVIORAL ADVISORY NPI 1083983944

NPI Information

  • NPI: 1083983944
  • Provider Name: E&T BEHAVIORAL ADVISORY
  • Classification: Psychiatry & Neurology - 2084P0804X
  • Specialization: Child & Adolescent Psychiatry
  • Entity Type: Organization
  • Address: 950 N RAMONA BLVD
    SUITE 2
    SAN JACINTO, CA
    ZIP 92582
  • Phone: (718) 551-1378

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NPI Details

E&T BEHAVIORAL ADVISORY is a child and adolescent psychiatry psychiatry neurology in San Jacinto, CA. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. E&T BEHAVIORAL ADVISORY NPI is 1083983944. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

950 N RAMONA BLVD
SUITE 2
SAN JACINTO, CA
ZIP 92582-567
Phone: (718) 551-1378
Fax: (951) 487-2679

The provider's authorized official is Mehran Motamed .
The authorized official title is Psychiatrist and has the following contact phone number (718) 551-1378.

The enumeration date for this NPI number is 12/22/2011 and was last updated on 12/9/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryA89851CALIFORNIAYes

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This page was last updated on: 3/30/2025

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