Provider Demographics
NPI:1952885907
Name:RAHBAR, YASHAR (PSYD)
Entity Type:Individual
Prefix:
First Name:YASHAR
Middle Name:
Last Name:RAHBAR
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1220 HIGHLAND AVE # 1871
Mailing Address - Street 2:
Mailing Address - City:DUARTE
Mailing Address - State:CA
Mailing Address - Zip Code:91010-2512
Mailing Address - Country:US
Mailing Address - Phone:714-213-4373
Mailing Address - Fax:
Practice Address - Street 1:1220 HIGHLAND AVE # 1871
Practice Address - Street 2:
Practice Address - City:DUARTE
Practice Address - State:CA
Practice Address - Zip Code:91010-2512
Practice Address - Country:US
Practice Address - Phone:714-213-4373
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-15
Last Update Date:2024-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY33016103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty