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NPI Code Detail

MEDICARE: MISS SHAUNA SHABNAM DABIRI-FAR M.S., LMFT 77396

MEDICARE:  MISS SHAUNA SHABNAM DABIRI-FAR  M.S., LMFT 77396
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 TherapistIMF52975CA
2106H00000XMarriage & Family Therapist
3106H00000XMarriage & Family TherapistLMFT77396CA

General Provider Information

NPI Number : 1760653588
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS SHAUNA SHABNAM DABIRI-FAR M.S., LMFT 77396
Provider Business Mailing Address
First Line : 815 N EL CENTRO AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90038-3805
Country : US
Telephone Number : 323-769-7118
Fax Number : 323-463-7033
Provider Business Practice Location Address
First Line : 815 N EL CENTRO AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90038-3805
Country : US
Telephone Number : 323-769-7118
Fax Number : 323-463-0619
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2008
Last Update Date : 05/15/2018

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Directions to “ MISS SHAUNA SHABNAM DABIRI-FAR M.S., LMFT 77396” Practice Location

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