MEDICARE: INTERNATIONAL INSTITUTE FOR COUPLE AND FAMILY RELATIONSHIPS

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

General Provider Information

NPI Number	:	1891588331
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INTERNATIONAL INSTITUTE FOR COUPLE AND FAMILY RELATIONSHIPS

Provider Business Mailing Address
First Line	:	321 S STATE COLLEGE BLVD
Second Line	:
City	:	ANAHEIM
State	:	CA
Zip	:	92806-4118
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	321 S STATE COLLEGE BLVD
Second Line	:
City	:	ANAHEIM
State	:	CA
Zip	:	92806-4118
Country	:	US
Telephone Number	:	714-721-7110
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	NAHAL HYDARYACIL
Credential	:
Telephone Number	:	714-721-7110

Provider Enumeration Date	:	05/27/2025
Last Update Date	:	04/08/2026

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