Healthcare Provider Details

I. General information

NPI: 1407226525
Provider Name (Legal Business Name): STEVE NOBUMASA KOBASHIGAWA LMFT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/01/2015
Last Update Date: 03/26/2026
Certification Date: 03/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

299 N EUCLID AVE STE 540
PASADENA CA
91101-1996
US

IV. Provider business mailing address

510 SINCLAIR AVE
GLENDALE CA
91206-2636
US

V. Phone/Fax

Practice location:
  • Phone: 323-645-0050
  • Fax:
Mailing address:
  • Phone: 323-645-0050
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMFC88202
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: