Mini Fanega, M.A
Individual provider Active NPI Marriage & Family Therapist · Rolling Hills Estates, CA
NPI 1508068248 · NPPES record last updated Sep 26, 2022
Key facts
- NPI
- 1508068248
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- MFC 50567 (CA)
- Practice address
- 916 Silver Spur Rd Ste 308
Rolling Hills Estates, CA 90274-3828 - Phone
- (424) 571-3806
- NPI assigned
- Jun 4, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC 50567 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Special Service for Groups, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC 50567 | CA | Yes |
Addresses
Primary practice location
916 Silver Spur Rd Ste 308
Rolling Hills Estates, CA 90274-3828
Mailing address
916 Silver Spur Rd Ste 308
Rolling Hills Estates, CA 90274-3828
Phone (424) 571-3806
Other practice location 1
2716 S Vermont Ave Ste 9
Los Angeles, CA 90007-2594
Phone (424) 571-3806
Other providers in Rolling Hills Estates, CA
- Kathleen Hawley Dyke
- Joanna W. Edwards
- Melissa Eichel
- Rabiha El Habbal
- Everlight Teens Adults & Family Therapy a Professional Corporation
- Howard Fein
- James Henry Flores Jr.
- Stewart M. Forman
- Fox Drug of Torrance, Inc.
- Tamar Gamliel
All providers in Rolling Hills Estates, CA · Marriage & Family Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 26, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.