Individual provider · Type 1 NPI

Shiva Akhavizadegan

Rehabilitation Practitioner · San Diego, CA

NPI number 1194322859 Active

Practice location

1963 4th Ave
San Diego, CA 92101-2394

Call (196) 233-3422 Map

Mailing address

10981 San Diego Mission Rd Ste 110
San Diego, CA 92108-2448

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1194322859

Shiva Akhavizadegan's National Provider Identifier is 1194322859, issued on Oct 6, 2020. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in San Diego, CA. The record was last updated on May 2, 2025.