Provider Demographics
NPI:1730974585
Name:SHIRAZI, SHOLAY SAHAR (ASW)
Entity type:Individual
Prefix:
First Name:SHOLAY
Middle Name:SAHAR
Last Name:SHIRAZI
Suffix:
Gender:
Credentials:ASW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2957 W BRIDGEPORT AVE
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92804-2049
Mailing Address - Country:US
Mailing Address - Phone:714-595-5484
Mailing Address - Fax:
Practice Address - Street 1:23276 S POINTE DR STE 105
Practice Address - Street 2:
Practice Address - City:LAGUNA HILLS
Practice Address - State:CA
Practice Address - Zip Code:92653-1430
Practice Address - Country:US
Practice Address - Phone:949-735-0500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-11
Last Update Date:2025-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical