Healthcare Provider Details

I. General information

NPI: 1154202463
Provider Name (Legal Business Name): NEDA JANGI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/11/2025
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

175 W LEXINGTON AVE STE A
EL CAJON CA
92020-4454
US

IV. Provider business mailing address

4626 KATY CT
LA MESA CA
91941-5658
US

V. Phone/Fax

Practice location:
  • Phone: 619-573-1779
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberAMFT156248
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: