Mezghan Azimi Ames

Individual provider Active NPI Adult Mental Health Clinic/Center · Indio, CA

NPI 1295911519 · NPPES record last updated Feb 2, 2021

Key facts

NPI
1295911519
Entity type
Individual (NPI type 1)
Primary specialty
Adult Mental Health Clinic/Center 261QM0850X
Practice address
47825 Oasis St
Indio, CA 92201-6950
Phone
(760) 332-8449
NPI assigned
Jan 16, 2008
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X
Adult Mental Health Clinic/Center 261QM0850X Yes

Addresses

Primary practice location

47825 Oasis St
Indio, CA 92201-6950

Mailing address

95 Mahalani St
Suite 19a
Wailuku, HI 96793-2521
Phone (808) 244-7467

Other providers in Indio, CA

All providers in Indio, CA · Adult Mental Health Clinic/Center in California

Sources for this page

Verify at the official NPI Registry.