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Zahra Hayderzadeh

Marriage & Family Therapist

Behavioral Health & Social Service Providers

4281 Katella Ave Ste 226, Los Alamitos, CA 90720-6504

PECOS Enrollment

Based on the most recent information from CMS, provider Zahra Hayderzadeh is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 9:43 AM.

Profile Details

Provider ID
1053742767
Provider Type
Individual
Full Name
Hayderzadeh, Zahra
Gender
Female

Sole Proprietor
No
Enumeration Date
12/5/2013
Last Updated
11/12/2021

Contact Information

Practice Location

4281 Katella Ave Ste 226, Los Alamitos, CA 90720-6504

(714) 455-9904

Unlisted Fax

Mailing Location

2913 El Camino Real # 128, Tustin, CA 92782-8909

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 106H00000X Primary	Description Marriage & Family Therapist Behavioral Health & Social Service Providers	License LMFT127543 California
Code 106H00000X	Description Marriage & Family Therapist Behavioral Health & Social Service Providers	License AMFT98368 California

Zahra Hayderzadeh

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Ramsey, Taylor Marie

Agajanian, Juli Ann

Savage, Donna S.

Cox, Carrie Anne

Estrada, Evangelina

Lee, Hyun Ju

Nguyen, Bao-Chau Thi

Heald, Margaret

Grasmeyer, Erin

Wade, Ryan Michelle