Healthcare Provider Details

I. General information

NPI: 1104469162
Provider Name (Legal Business Name): SOHEILA PIRNIA AMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/23/2019
Last Update Date: 07/31/2025
Certification Date: 07/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3540 HOWARD WAY STE 150
COSTA MESA CA
92626-1496
US

IV. Provider business mailing address

3540 HOWARD WAY STE 150
COSTA MESA CA
92626-1496
US

V. Phone/Fax

Practice location:
  • Phone: 949-646-9227
  • Fax: 949-646-9191
Mailing address:
  • Phone: 949-646-9227
  • Fax: 949-646-9191

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number153399
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: