Healthcare Provider Details
I. General information
NPI: 1366399032
Provider Name (Legal Business Name): HONJIYO MARRIAGE AND FAMILY THERAPY SERVICES, A PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/12/2026
Last Update Date: 04/08/2026
Certification Date: 04/08/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
106 W 4TH ST
SANTA ANA CA
92701-4646
US
IV. Provider business mailing address
106 W 4TH ST STE 312
SANTA ANA CA
92701-4633
US
V. Phone/Fax
- Phone: 714-401-7901
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 106H00000X |
| Taxonomy | Marriage & Family Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MARISSA
HONJIYO
Title or Position: THERAPIST
Credential: LMFT
Phone: 714-401-7901