Soma Therapy Clinic

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

47737 Issued in CA

Legal business name

SOMA THERAPY CLINIC

Practice address

2057 Wilshire Boulevard
Suite 801
Los Angeles, CA 90057

Phone

(818) 455-4130

NPI assigned

Oct 26, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Maria Guadalupe Alfaro, LMFT

Title

Co-Founder

Phone

(818) 744-7256

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1445817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445817600000",
    "number": "1962874313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2057 WILSHIRE BOULEVARD",
            "address_2": "SUITE 801",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90057",
            "telephone_number": "818-455-4130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2057 WILSHIRE BOULEVARD",
            "address_2": "SUITE 801",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90057",
            "telephone_number": "818-455-4130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOMA THERAPY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-26",
        "last_updated": "2015-10-26",
        "status": "A",
        "authorized_official_last_name": "ALFARO",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "GUADALUPE",
        "authorized_official_title_or_position": "CO-FOUNDER",
        "authorized_official_telephone_number": "818-744-7256",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "47737",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1427181064",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Sovanmony Som
• Keerthan Somanath, M.D.
• Jenna Nicole Somasundaram, DPT
• Orit Somekhian, L.AC.
• Raffy Salud Somera, APRN
• Clotella Nikki Somerville

• 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 26, 2015; 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.