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NPI Code Detail

MEDICARE: MS. ISLAH MOHARRAM

MEDICARE: MS. ISLAH MOHARRAM
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 Therapist43274CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
143274OTHERCAMFT

General Provider Information

NPI Number : 1689748048
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ISLAH MOHARRAM
Provider Business Mailing Address
First Line : 5043 WALNUT PARK DR
Second Line :
City : SANTA BARBARA
State : CA
Zip : 93111-1837
Country : US
Telephone Number : 805-884-6850
Fax Number :
Provider Business Practice Location Address
First Line : 2034 DE LA VINA ST
Second Line :
City : SANTA BARBARA
State : CA
Zip : 93105-3814
Country : US
Telephone Number : 805-884-6850
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/20/2006
Last Update Date : 05/18/2011

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Directions to “ MS. ISLAH MOHARRAM ” Practice Location

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