Healthcare Provider Details

I. General information

NPI: 1871226860
Provider Name (Legal Business Name): ANGELA JONES LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/06/2022
Last Update Date: 03/18/2026
Certification Date: 03/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2321 ROSECRANS AVE STE 1290
EL SEGUNDO CA
90245-4980
US

IV. Provider business mailing address

13157 MINDANAO WAY STE 587
MARINA DEL REY CA
90292-6307
US

V. Phone/Fax

Practice location:
  • Phone: 310-801-9319
  • Fax:
Mailing address:
  • Phone: 310-801-9319
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number159878
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: