Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YA0400X | Addiction Counselor (Substance Use Disorder) | ||
N | 103TA0400X | Addiction Psychologist (Substance Use Disorder) |
NPI | 1508162652 |
---|---|
Provider Name | Houman Michael Rahmani |
First Address | Pasadena, CA 91101-1635 |
Second Address | Pasadena, CA 91101-1635 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/02/2011 |
Last Update Date | 08/02/2011 |