Provider Demographics
NPI:1174677629
Name:RAHBAR, ROUDABEH (PSYD)
Entity Type:Individual
Prefix:DR
First Name:ROUDABEH
Middle Name:
Last Name:RAHBAR
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30511 AVENIDA DE LAS FLORES STE 1061
Mailing Address - Street 2:
Mailing Address - City:RANCHO SANTA MARGARITA
Mailing Address - State:CA
Mailing Address - Zip Code:92688-3941
Mailing Address - Country:US
Mailing Address - Phone:949-338-1860
Mailing Address - Fax:
Practice Address - Street 1:570 ESCENICO
Practice Address - Street 2:
Practice Address - City:LAKE FOREST
Practice Address - State:CA
Practice Address - Zip Code:92630-8914
Practice Address - Country:US
Practice Address - Phone:949-338-1860
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-22
Last Update Date:2023-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY 23048103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical