MEDICARE: TIFFENY COBB 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	101YM0800X	Mental Health Counselor	8618	CA
2	101YM0800X	Mental Health Counselor	122508	CA
3	106H00000X	Marriage & Family Therapist	LMFT161334	CA
4	106H00000X	Marriage & Family Therapist	AMFT122508	CA

General Provider Information

NPI Number	:	1922760438
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIFFENY COBB LMFT

Provider Business Mailing Address
First Line	:	3756 SANTA ROSALIA DR STE 219
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90008-3616
Country	:	US
Telephone Number	:	323-291-0191
Fax Number	:

Provider Business Practice Location Address
First Line	:	3756 SANTA ROSALIA DR STE 219
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90008-3616
Country	:	US
Telephone Number	:	562-822-4274
Fax Number	:

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

Provider Enumeration Date	:	10/12/2021
Last Update Date	:	02/26/2026

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Directions to “ TIFFENY COBB LMFT” Practice Location

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