Provider Demographics
NPI:1861011991
Name:CITY PSYCH MD
Entity Type:Organization
Organization Name:CITY PSYCH MD
Other - Org Name:CITY PSYCH MD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:SHADI
Authorized Official - Middle Name:
Authorized Official - Last Name:ARAMESH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:949-383-8511
Mailing Address - Street 1:1100 QUAIL ST STE 206
Mailing Address - Street 2:
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660-2782
Mailing Address - Country:US
Mailing Address - Phone:949-383-8511
Mailing Address - Fax:949-209-0344
Practice Address - Street 1:1100 QUAIL ST STE 206
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660-2782
Practice Address - Country:US
Practice Address - Phone:949-383-8511
Practice Address - Fax:949-209-0344
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-09
Last Update Date:2023-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty