Provider Demographics
NPI:1790574911
Name:ALGHAZI, HIBA
Entity type:Individual
Prefix:
First Name:HIBA
Middle Name:
Last Name:ALGHAZI
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:634 TRUE WIND WAY UNIT 801
Mailing Address - Street 2:
Mailing Address - City:REDWOOD CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94063-5733
Mailing Address - Country:US
Mailing Address - Phone:619-956-6150
Mailing Address - Fax:
Practice Address - Street 1:4677 OLD IRONSIDES DR STE 445
Practice Address - Street 2:
Practice Address - City:SANTA CLARA
Practice Address - State:CA
Practice Address - Zip Code:95054-1826
Practice Address - Country:US
Practice Address - Phone:408-320-5960
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-05
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA18505101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor