Sophia Egharevba

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

1891 Effie St
Adolescent Outpatient
Los Angeles, CA 90026-1711

Phone

(323) 384-5155

NPI assigned

Jun 20, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• CSL Health Care Services Inc

  • Community Based Hospice Care Agency
  • Dallas, TX
  • NPI 1396594255
  NPD Authorized official

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376748061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 931693",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900931693",
            "telephone_number": "323-384-5155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1891 EFFIE ST",
            "address_2": "ADOLESCENT OUTPATIENT",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900261711",
            "telephone_number": "323-384-5155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGHAREVBA",
        "first_name": "SOPHIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elechi M Egeonuigwe
• Patricia Ann Eggebrecht
• Scott Eggener
• Eggleston Youth Centers, Inc.
• Eggleston Youth Centers, Inc.
• Babak Eghbali, PHARMD
• Mahyar Eghbali
• Mansour Eghbali
• Aida Eghbalian Nouzanizadeh
• Navid Eghbalieh, M.D.

• Marriage & Family Therapist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.