Provider Demographics
NPI:1871252015
Name:DR. SHEVA ASSAR & ASSOCIATES, INC.
Entity type:Organization
Organization Name:DR. SHEVA ASSAR & ASSOCIATES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SHEVA
Authorized Official - Middle Name:
Authorized Official - Last Name:ASSAR
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:949-478-3851
Mailing Address - Street 1:21163 NEWPORT COAST DR STE 1004
Mailing Address - Street 2:
Mailing Address - City:NEWPORT COAST
Mailing Address - State:CA
Mailing Address - Zip Code:92657-1123
Mailing Address - Country:US
Mailing Address - Phone:949-478-3851
Mailing Address - Fax:
Practice Address - Street 1:2845 HARBOR BLVD
Practice Address - Street 2:
Practice Address - City:COSTA MASA
Practice Address - State:CA
Practice Address - Zip Code:92626
Practice Address - Country:US
Practice Address - Phone:949-478-3851
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-15
Last Update Date:2022-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty