Healthcare Provider Details

I. General information

NPI: 1609671726
Provider Name (Legal Business Name): HAMIDA SOZAHDAH LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/13/2025
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6506 W 6TH ST
LOS ANGELES CA
90048-4716
US

IV. Provider business mailing address

25002 CLIFFROSE ST
CORONA CA
92883-8469
US

V. Phone/Fax

Practice location:
  • Phone: 310-663-2432
  • Fax:
Mailing address:
  • Phone: 310-663-2432
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number21422
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: