Search › California › 171100000X
Shadye Peyvan, LAC
NPI 1780915066 · on the registry since 2010 · sole proprietor
Practice
- Address
- 2304 Huntington Dr
Suite # 252
San Marino, CA 91108 - Phone
- (626) 292-1274
- Fax
- (626) 292-1274
- Organisation at this address
- Bethesda Hospice, Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 171100000X
171100000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2010-01-26
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