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NPI Code Detail

MEDICARE: FARNOUSH TERMEFOROOSH MFT

MEDICARE:   FARNOUSH  TERMEFOROOSH  MFT
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 Therapist41736CA

General Provider Information

NPI Number : 1932305844
Entity Type Code : Individual
Provider Name (Legal Business Name) : FARNOUSH TERMEFOROOSH MFT
Provider Business Mailing Address
First Line : 200 S BARRINGTON AVE STE 335
Second Line :
City : LOS ANGELES
State : CA
Zip : 90049-7939
Country : US
Telephone Number : 310-422-1142
Fax Number :
Provider Business Practice Location Address
First Line : 11340 W OLYMPIC BLVD STE 245
Second Line :
City : LOS ANGELES
State : CA
Zip : 90064-1697
Country : US
Telephone Number : 424-273-5003
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2007
Last Update Date : 09/17/2018

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Directions to “ FARNOUSH TERMEFOROOSH MFT” Practice Location

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