Provider Demographics
NPI:1417528480
Name:7 CYCLES OF LIFE
Entity Type:Organization
Organization Name:7 CYCLES OF LIFE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARJAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MOINZADEH
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:925-895-2296
Mailing Address - Street 1:191 CAMEO DR
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:94526-1644
Mailing Address - Country:US
Mailing Address - Phone:925-895-2296
Mailing Address - Fax:925-964-8877
Practice Address - Street 1:2821 CROW CANYON RD STE 202
Practice Address - Street 2:
Practice Address - City:SAN RAMON
Practice Address - State:CA
Practice Address - Zip Code:94583-1659
Practice Address - Country:US
Practice Address - Phone:925-895-2296
Practice Address - Fax:925-964-8877
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-09
Last Update Date:2021-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty