Healthcare Provider Details

I. General information

NPI: 1528977287
Provider Name (Legal Business Name): MS. AURORA PAREDES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/07/2026
Last Update Date: 09/07/2026
Certification Date: 09/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2401 14TH ST
SANTA MONICA CA
90405-2615
US

IV. Provider business mailing address

2401 14TH ST
SANTA MONICA CA
90405-2615
US

V. Phone/Fax

Practice location:
  • Phone: 310-452-2364
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberAMFT149481
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: