Provider Demographics
NPI:1073803524
Name:Q'S MINISTRY / BHITS
Entity type:Organization
Organization Name:Q'S MINISTRY / BHITS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PASTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:KIUMARS
Authorized Official - Middle Name:
Authorized Official - Last Name:LALEZARZADEH
Authorized Official - Suffix:
Authorized Official - Credentials:MA, PHD
Authorized Official - Phone:310-443-4168
Mailing Address - Street 1:10940 WILSHIRE BLVD
Mailing Address - Street 2:SUITE 600
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90024-3915
Mailing Address - Country:US
Mailing Address - Phone:310-443-4168
Mailing Address - Fax:
Practice Address - Street 1:10940 WILSHIRE BLVD
Practice Address - Street 2:SUITE 600
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90024-3915
Practice Address - Country:US
Practice Address - Phone:310-443-4168
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-18
Last Update Date:2014-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA101YP1600X, 101YP1600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoralGroup - Single Specialty