Organization Name: | VORTEX PSYCHIATRY, INC. |
NPI Number: | 1083088652 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SAID ALI IBRAHIMI (OWNER) |
Mailing Address: | 2305 Camino Ramon Suite 221 San Ramon |
State: | CA US |
Postal Code: | 945831396 |
Phone Number: | 9252644069 |
Fax Number: | 9252644069 |
NPI Enumeration Date: | 11/19/2015 |
NPI Last Update Date: | 12/22/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM0850X |
License Number: | A129171 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Adult Mental Health |
Taxonomy Definition: | An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |