Provider Demographics
NPI:1013447986
Name:HOLISTIC CURE AND CARE CENTER, INC.
Entity Type:Organization
Organization Name:HOLISTIC CURE AND CARE CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALBORZ
Authorized Official - Middle Name:
Authorized Official - Last Name:BAHADOR
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:310-383-3551
Mailing Address - Street 1:72877 DINAH SHORE DR STE 103
Mailing Address - Street 2:
Mailing Address - City:RANCHO MIRAGE
Mailing Address - State:CA
Mailing Address - Zip Code:92270-2709
Mailing Address - Country:US
Mailing Address - Phone:310-383-3551
Mailing Address - Fax:
Practice Address - Street 1:9939 MAGNOLIA AVE
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92503-3528
Practice Address - Country:US
Practice Address - Phone:855-505-7467
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-14
Last Update Date:2018-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty