Sepideh Adhami | Rancho Cucamonga, CA • PECOS Search

Sepideh Adhami

Psychologist

Behavioral Health & Social Service Providers

8300 Utica Ave Ste 245, Rancho Cucamonga, CA 91730-3852

PECOS Enrollment

Based on the most recent information from CMS, provider Sepideh Adhami is legally eligible to order and refer claims for DME services only.

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

CMS last updated its PECOS records 34 days ago.

Profile Details

Provider ID
1124451307
Provider Type
Individual
Full Name
Adhami, Sepideh
Title
Dr.
Credential
PSY.D.

Gender
Female
Sole Proprietor
Yes
Enumeration Date
8/12/2013
Last Updated
7/6/2023

Contact Information

Practice Location

8300 Utica Ave Ste 245, Rancho Cucamonga, CA 91730-3852

Unlisted Fax

Mailing Location

8300 Utica Ave Ste 245, Rancho Cucamonga, CA 91730-3852

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 103T00000X Primary	Description Psychologist Behavioral Health & Social Service Providers	License Unlisted Issuer