Provider Demographics
NPI:1194107029
Name:MOHAMMADI, KIMIA BIGLARI
Entity type:Individual
Prefix:MS
First Name:KIMIA
Middle Name:BIGLARI
Last Name:MOHAMMADI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18935 SARATOGA GLEN PL
Mailing Address - Street 2:
Mailing Address - City:SARATOGA
Mailing Address - State:CA
Mailing Address - Zip Code:95070-3549
Mailing Address - Country:US
Mailing Address - Phone:408-605-2899
Mailing Address - Fax:
Practice Address - Street 1:18935 SARATOGA GLEN PL
Practice Address - Street 2:
Practice Address - City:SARATOGA
Practice Address - State:CA
Practice Address - Zip Code:95070-3549
Practice Address - Country:US
Practice Address - Phone:408-605-2899
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-27
Last Update Date:2015-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health