Nina Ashrafzadeh, PSY.D., LMFT

Individual provider Active NPI Marriage & Family Therapist · San Pedro, CA

NPI 1386830305 · NPPES record last updated May 1, 2024

Key facts

NPI
1386830305
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
142779 (CA)
Practice address
302 W 5TH St Ste 308
San Pedro, CA 90731-2750
Phone
(424) 570-6955
NPI assigned
Sep 24, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 4

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
142779CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Epiphany Counseling, Consulting & Treatment Services, PC Current
since May 7, 2024
Accepting new patients
Salt Marriage and Family Therapy Inc Marriage & Family Therapist Past Accepting new patients
County of Orange Past Accepting new patients
County of Orange Past Accepting new patients

Locations

302 W 5th St
Ste 308
San Pedro, CA 90731
Phone (424) 570-6955

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 142779 CA Yes

Addresses

Primary practice location

302 W 5TH St Ste 308
San Pedro, CA 90731-2750

Mailing address

471 W 7TH St
San Pedro, CA 90731-3207
Phone (424) 287-7628

Other practice location 1

3815 Atlantic Ave Ste 6
Long Beach, CA 90807-3500
Phone (323) 999-4638

Other providers in San Pedro, CA

All providers in San Pedro, CA · Marriage & Family Therapist in California

Sources for this page

Verify at the official NPI Registry.