Active NPI
Maryam Dalili
- Marriage & Family Therapist
- Torrance, CA
National Provider Identifier
1265605315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 55859
- Practice address
- 370 Crenshaw Blvd
Torrance, CA 90503-1727 - Phone
- (310) 968-1949
- NPI assigned
- Apr 9, 2008
- Last updated
- Apr 9, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 55859 | CA | Primary |
Addresses
Primary practice location
370 Crenshaw Blvd
Torrance, CA 90503-1727
Mailing address
1124 Granvia Altamira
Palos Verdes Estates, CA 90274-2060
Phone (310) 809-9035
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
| License | State | Type | Specialty |
|---|---|---|---|
| 55859 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207699200000",
"number": "1265605315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1124 GRANVIA ALTAMIRA",
"city": "PALOS VERDES ESTATES",
"state": "CA",
"postal_code": "902742060",
"telephone_number": "310-809-9035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "370 CRENSHAW BLVD",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905031727",
"telephone_number": "310-968-1949"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DALILI",
"first_name": "MARYAM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-09",
"last_updated": "2008-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "55859",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Torrance, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.