Healthcare Provider Details

I. General information

NPI: 1427989318
Provider Name (Legal Business Name): MS. SOWMYA MURTHY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17777 VENTURA BLVD STE 105
ENCINO CA
91316-3738
US

IV. Provider business mailing address

325 N LARCHMONT BLVD # 181
LOS ANGELES CA
90004-3011
US

V. Phone/Fax

Practice location:
  • Phone: 805-316-1386
  • Fax:
Mailing address:
  • Phone: 805-316-1386
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number163384
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: