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NPI Code Detail

MEDICARE: LEONA MARYAM ESMAEILY-AIMUA LMFT

MEDICARE: LEONA MARYAM ESMAEILY-AIMUA LMFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist119880CA
2106H00000XMarriage & Family Therapist142467CA

General Provider Information

NPI Number : 1396312526
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEONA MARYAM ESMAEILY-AIMUA LMFT
Provider Business Mailing Address
First Line : 8743 MAGNOLIA AVE APT A16
Second Line :
City : RIVERSIDE
State : CA
Zip : 92503-4421
Country : US
Telephone Number : 909-654-5094
Fax Number :
Provider Business Practice Location Address
First Line : 21125 CENTRE POINTE PKWY
Second Line :
City : SANTA CLARITA
State : CA
Zip : 91350-2994
Country : US
Telephone Number : 855-435-3801
Fax Number : 661-214-7440
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/07/2021
Last Update Date : 01/05/2026

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