Ep Marriage Therapy, Inc.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

EP MARRIAGE THERAPY, INC.

Practice address

504 S Normandie Ave Apt 105
Los Angeles, CA 90020-3023

Phone

(818) 486-6592

NPI assigned

Oct 22, 2020

Organization subpart

No

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

Authorized official

Name

Elisa Pak, MA

Title

LMFT

Phone

(323) 457-3979

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1603324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603324800000",
    "number": "1639778319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 S NORMANDIE AVE APT 105",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900203023",
            "telephone_number": "818-486-6592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 S NORMANDIE AVE APT 105",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900203023",
            "telephone_number": "818-486-6592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EP MARRIAGE THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-22",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A",
        "authorized_official_last_name": "PAK",
        "authorized_official_first_name": "ELISA",
        "authorized_official_title_or_position": "LMFT",
        "authorized_official_telephone_number": "323-457-3979",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "elisa@therapywithelisa.com",
            "affiliation": "N",
            "endpointDescription": "Business email address",
            "address_1": "504 S Normandie Ave Apt 105",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900203023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Elizabeth Eom, M.D.
• Ick Youl Eom
• Jaeho Eom
• Linda Eom, MSN, FNP-BC
• Eoon Hye Ji DDS Inc
• Yina A Ephform
• Chastity Y Ephraim, SLPA
• Alisa Ephriam
• Deshawn Denise Ephriam
• Servonte Ephriam, COUNSELOR

• 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 Oct 22, 2020; 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.