Provider Demographics
NPI:1285496356
Name:SEAL BEACH COUNSELING INC
Entity type:Organization
Organization Name:SEAL BEACH COUNSELING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER OF ENTITY
Authorized Official - Prefix:
Authorized Official - First Name:ALI
Authorized Official - Middle Name:REZA
Authorized Official - Last Name:ZANDI
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:714-797-5445
Mailing Address - Street 1:909 ELECTRIC AVE STE 308
Mailing Address - Street 2:
Mailing Address - City:SEAL BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90740-8903
Mailing Address - Country:US
Mailing Address - Phone:714-797-5445
Mailing Address - Fax:213-355-6231
Practice Address - Street 1:909 ELECTRIC AVE STE 308
Practice Address - Street 2:
Practice Address - City:SEAL BEACH
Practice Address - State:CA
Practice Address - Zip Code:90740-8903
Practice Address - Country:US
Practice Address - Phone:714-797-5445
Practice Address - Fax:213-355-6231
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-25
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty