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NPI Code Detail

MEDICARE: TIANA KADKHODA AMFT

MEDICARE: TIANA KADKHODA AMFT
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
1106H00000XMarriage & Family TherapistAMFT152829CA

General Provider Information

NPI Number : 1437084928
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIANA KADKHODA AMFT
Provider Business Mailing Address
First Line : 6201 W 87TH ST STE D
Second Line :
City : LOS ANGELES
State : CA
Zip : 90045-3901
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6201 W 87TH ST STE D
Second Line :
City : LOS ANGELES
State : CA
Zip : 90045-3901
Country : US
Telephone Number : 310-741-8361
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2026
Last Update Date : 06/16/2026

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Directions to “ TIANA KADKHODA AMFT” Practice Location

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