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NAMITA SHARAN MFT NPI 1598193609


NPI Information

NPI: 1598193609
Provider Name: NAMITA SHARAN MFT

Doing Business As: SAN PEDRO HEALING ARTS MEDICAL CLINIC

Classification: Marriage & Family Therapist - 106H00000X
Entity Type: Organization

CLIA Number: 05D2050692

Address:
1366 W 7TH ST
SUITE 4-B
SAN PEDRO, CA
ZIP 90732
Phone: (310) 547-2197
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NAMITA SHARAN MFT is a marriage family therapist in San Pedro, CA. The provider is a marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. NAMITA SHARAN MFT NPI is 1598193609. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As San Pedro Healing Arts Medical Clinic.

The provider's business location address is:

1366 W 7TH ST
SUITE 4-B
SAN PEDRO, CA
ZIP 90732-500
Phone: (310) 547-2197
Fax: (310) 547-9532

The provider's authorized official is Maria E Baez .
The authorized official title is Ceo and has the following contact phone number (310) 547-2197.

The CLIA number assigned to this NPI record is 05D2050692 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/29/2013 and was last updated on 10/29/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1106H00000XMarriage & Family TherapistMFC51281CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1MFC51281OTHERCALIFORNIASTATE LIC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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