Search › California › 101YM0800X
Edward Siahaan, MS, MBA, MFT INTERN
NPI 1679750947 · on the registry since 2008 · sole proprietor
Practice
- Address
- 22899 Cattail Ln
Moreno Valley, CA 92557 - Phone
- (909) 553-1481
- Fax
- (951) 924-7226
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-01-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California