| Doctor Name: | DR. CAMELLIA MOHADJER |
| NPI Number: | 1639448103 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D. |
| License Number: | PSY24624 |
| Business Practice Address: | 701 Scofield Ave Wasco, CA - 932807515 |
| Business Phone Number: | 6617588400 |
| Business Fax Number: | |
| Mailing Address: | 28772 Tomelloso, MISSION VIEJO |
| State: | CA |
| Postal Code: | 926921090 |
| Phone Number: | 9497262264 |
| Fax Number: | |
| NPI Enumeration Date: | 12/29/2011 |
| NPI Last Update Date: | 12/29/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TF0200X |
| License Number: | PSY24624 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Forensic |
| Taxonomy Definition: | |