Healthcare Provider Details

I. General information

NPI: 1437705118
Provider Name (Legal Business Name): ISHITA PAHOJA LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/17/2019
Last Update Date: 10/29/2025
Certification Date: 10/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1663 MISSION ST
SAN FRANCISCO CA
94103-2400
US

IV. Provider business mailing address

1663 MISSION ST STE 604
SAN FRANCISCO CA
94103-2473
US

V. Phone/Fax

Practice location:
  • Phone: 415-474-7310
  • Fax: 415-673-2488
Mailing address:
  • Phone: 415-474-7310
  • Fax: 415-673-2488

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number158723
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: