Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Fereshte Mirzad

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1689041188

Fereshte Mirzad is a Student in an Organized Health Care Education/Training Program in Lancaster, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2015
Specialties on file
2
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Practice location Address checks out

44750 60th St W
Lancaster, CA 93536-7619
Phone: (661) 729-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1436 Goodrich Blvd, Commerce, CA 90022-5111 — (323) 725-1337

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSY31397 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1689041188
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 31, 2015
Last updated in NPPESMarch 20, 2020
Certification dateMarch 20, 2020
Mailing addressPo Box 800444, Santa Clarita, CA 91380-0444

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