Individual provider Active NPI

Mona Dolores Rich, MFC 33762

  • Marriage & Family Therapist
  • Gardena, CA
National Provider Identifier
1184902678
Registry record updated Aug 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC 33762 Issued in CA
Practice address
15508 S Western Ave
Suite #203
Gardena, CA 90249-4326
Phone
(310) 715-8885
Fax
(310) 715-8889
NPI assigned
Aug 1, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC 33762 CA Primary

Addresses

Primary practice location

15508 S Western Ave
Suite #203
Gardena, CA 90249-4326

Mailing address

15508 S Western Ave
Suite #203
Gardena, CA 90249-4326
Phone (310) 715-8885

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MFC 33762CAMDMarriage & Family Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1312156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312156800000",
    "number": "1184902678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15508 S WESTERN AVE",
            "address_2": "SUITE #203",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902494326",
            "telephone_number": "310-715-8885",
            "fax_number": "310-715-8889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15508 S WESTERN AVE",
            "address_2": "SUITE #203",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902494326",
            "telephone_number": "310-715-8885",
            "fax_number": "310-715-8889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICH",
        "first_name": "MONA",
        "middle_name": "DOLORES",
        "name_prefix": "Ms.",
        "credential": "MFC 33762",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-01",
        "last_updated": "2011-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 33762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.