Provider Demographics
NPI:1053753962
Name:MOHEBBAN, EVA SAHAR (ASW)
Entity type:Individual
Prefix:
First Name:EVA
Middle Name:SAHAR
Last Name:MOHEBBAN
Suffix:
Gender:F
Credentials:ASW
Other - Prefix:
Other - First Name:EVA
Other - Middle Name:SAHAR
Other - Last Name:MOHEBAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:20404 HAMLIN ST
Mailing Address - Street 2:
Mailing Address - City:WINNETKA
Mailing Address - State:CA
Mailing Address - Zip Code:91306-4222
Mailing Address - Country:US
Mailing Address - Phone:818-800-7455
Mailing Address - Fax:
Practice Address - Street 1:20404 HAMLIN ST
Practice Address - Street 2:
Practice Address - City:WINNETKA
Practice Address - State:CA
Practice Address - Zip Code:91306-4222
Practice Address - Country:US
Practice Address - Phone:818-800-7455
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-19
Last Update Date:2020-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker