MEDICARE: SANDRA MICHELLE NARVAEZ LMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	118722	CA

General Provider Information

NPI Number	:	1215380555
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SANDRA MICHELLE NARVAEZ LMFT

Provider Business Mailing Address
First Line	:	PO BOX 19712
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92159-0712
Country	:	US
Telephone Number	:	818-683-2818
Fax Number	:	818-745-8136

Provider Business Practice Location Address
First Line	:	2555 E COLORADO BLVD STE 308
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91107-6649
Country	:	US
Telephone Number	:	818-683-2818
Fax Number	:	818-745-8136

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/22/2016
Last Update Date	:	06/03/2026

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