Healthcare Provider Details

I. General information

NPI: 1184483885
Provider Name (Legal Business Name): ARAMESH AFSHAR AMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/15/2024
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4121 RADFORD AVE APT 408
STUDIO CITY CA
91604-2180
US

IV. Provider business mailing address

4121 RADFORD AVE APT 408
STUDIO CITY CA
91604-2180
US

V. Phone/Fax

Practice location:
  • Phone: 240-447-6895
  • Fax:
Mailing address:
  • Phone: 240-447-6895
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number0003218
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number162791
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: