FAZLOLLAH ALDAVOUD PHD
NPI 1619170958
Psychologist - Clinical in Norco, CA

Q: What is Fazlollah Aldavoud's NPI number?

The NPI number for Fazlollah Aldavoud is 1619170958. It was assigned to this individual provider in the NPPES registry on June 6, 2007.

Q: What is Fazlollah Aldavoud's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since June 06, 2007

FIFTH AND WESTERN CALIFORNIA REHABILITATION CENTER, DEPT OF CORRECTIONS STATE OF CALIFORNIA, NORCO, CA 92860(951) 737-2683(951) 273-2974 Get Directions Write a Review

NPPES record last updated: July 25, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Fazlollah Aldavoud Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAZLOLLAH ALDAVOUD PHD (NPI 1619170958) is an individual clinical provider in Norco, California, licensed in California (PSY 16601) and active in the NPI registry since June 2007.

NPPES Registry Identity

NPI1619170958

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameFAZLOLLAH ALDAVOUDCredential: PHD

Location AddressFIFTH AND WESTERN CALIFORNIA REHABILITATION CENTER, DEPT OF CORRECTIONS STATE OF CALIFORNIANorco, CA 92860

Mailing Address1460 Torreyanna CircleCorona, CA 92882-8724 · (951) 582-0895

Phone(951) 737-2683

Fax(951) 273-2974

Sole ProprietorNo

Enumeration DateJune 6, 2007

Last NPPES UpdateJuly 25, 2022

NPPES CertifiedJuly 25, 2022

✔ NPI 1619170958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · PSY 16601

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License MFC 23813 (CA)

Also ListedSpecialistTaxonomy 174400000X · License 25147 (CA)

FIFTH AND WESTERN CALIFORNIA REHABILITATION CENTER, Norco, CA 92860

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fazlollah Aldavoud's NPI number?

The NPI number for Fazlollah Aldavoud is 1619170958. It was assigned to this individual provider in the NPPES registry on June 6, 2007.

Where is Fazlollah Aldavoud located?

Fazlollah Aldavoud practices at Fifth And Western California Rehabilitation Center Dept Of Corrections State Of California, Norco, CA 92860. The listed phone number is (951) 737-2683.

What is Fazlollah Aldavoud's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Fazlollah Aldavoud was last updated on July 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.