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Shahida K Syed Enterprises Llc
Substance Use Disorder Rehabilitation Clinic/Center in Corona, California
NPI 1518645795

Shahida K Syed Enterprises Llc is a Substance Use Disorder Rehabilitation Clinic/Center based in Corona, CA and is specialized in Rehabilitation, Substance Use Disorder. Shahida K Syed Enterprises Llc practices in Corona, CA. The NPI Number for Shahida K Syed Enterprises Llc is 1518645795 and holds a License No. (California).

The current practice location address for Shahida K Syed Enterprises Llc is 4300 Green River Rd Ste 108, Corona, CA and can be reached out via phone at 951-393-0191 and via fax at 951-987-0042.

Location: 4300 Green River Rd Ste 108, Corona, CA, 92881-4302
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1518645795
Provider Name
Shahida K Syed Enterprises Llc
Credential
Provider Entity Type
Organization
Address
4300 Green River Rd Ste 108, Corona, CA, 92881-4302
Phone Number
951-393-0191
Fax Number
951-987-0042
Provider Enumeration Date
07/07/2023
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
330179EP 01 CA DEPARTMENT OF HEALTH CARE SERVICES
institution
Provider Business Practice Location Address Details
Address
4300 Green River Rd Ste 108
City
Corona
State
California
Zip
92878-2306
Phone Number
951-393-0191
Fax Number
951-987-0042
person
Provider Business Mailing Address Details
Address
4300 Green River Rd Ste 108
City
Corona
State
California
Zip
92878-2306
Phone Number
951-393-0191
Fax Number
951-987-0042
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
Taxonomy
261QR0401X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
261QR0405X
License No.
()
Definition
Definition to come...
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