MEDICARE: DINASARI ATMALI 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	LMFT132937	CA

General Provider Information

NPI Number	:	1750091112
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DINASARI ATMALI LMFT

Provider Business Mailing Address
First Line	:	24359 WALNUT ST
Second Line	:
City	:	SANTA CLARITA
State	:	CA
Zip	:	91321-6100
Country	:	US
Telephone Number	:	626-800-7337
Fax Number	:

Provider Business Practice Location Address
First Line	:	24359 WALNUT ST
Second Line	:
City	:	SANTA CLARITA
State	:	CA
Zip	:	91321-6100
Country	:	US
Telephone Number	:	626-800-7337
Fax Number	:

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

Provider Enumeration Date	:	11/28/2022
Last Update Date	:	11/28/2022

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