Healthcare Provider Details

I. General information

NPI: 1003681305
Provider Name (Legal Business Name): PETER EPSTEIN LMFT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/16/2023
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 6604
LAGUNA NIGUEL CA
92607-6604
US

IV. Provider business mailing address

PO BOX 6604
LAGUNA NIGUEL CA
92607-6604
US

V. Phone/Fax

Practice location:
  • Phone: 818-689-2398
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number160202
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: