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NPI Code Detail

MEDICARE: MISS SHEIDA SEPEHRAR FRANCIS MFT

MEDICARE: MISS SHEIDA SEPEHRAR FRANCIS MFT
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 Therapist38004CA

General Provider Information

NPI Number : 1447478714
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS SHEIDA SEPEHRAR FRANCIS MFT
Provider Business Mailing Address
First Line : 11928 KIOWA AVE
Second Line : #206
City : LOS ANGELES
State : CA
Zip : 90049
Country : US
Telephone Number : 310-824-7551
Fax Number : 310-208-0684
Provider Business Practice Location Address
First Line : 1145 GAYLEY AVE
Second Line : #305
City : LOS ANGELES
State : CA
Zip : 90024
Country : US
Telephone Number : 310-824-7551
Fax Number : 310-208-0684
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/23/2007
Last Update Date : 07/08/2007

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Directions to “ MISS SHEIDA SEPEHRAR FRANCIS MFT” Practice Location

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