MEDICARE: NAVID MESSIAN 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	90965	CA

General Provider Information

NPI Number	:	1457881070
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NAVID MESSIAN LMFT

Provider Business Mailing Address
First Line	:	5308 PENFIELD AVE
Second Line	:
City	:	WOODLAND HILLS
State	:	CA
Zip	:	91364-3535
Country	:	US
Telephone Number	:	818-517-2959
Fax Number	:

Provider Business Practice Location Address
First Line	:	5308 PENFIELD AVE.
Second Line	:
City	:	WOODLAND HILLS
State	:	CA
Zip	:	91364
Country	:	US
Telephone Number	:	818-517-2959
Fax Number	:

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

Provider Enumeration Date	:	06/15/2017
Last Update Date	:	07/21/2022

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