Provider Demographics
NPI:1285073064
Name:ARIA, SHAHRZAD-ALEXIS
Entity type:Individual
Prefix:MISS
First Name:SHAHRZAD-ALEXIS
Middle Name:
Last Name:ARIA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10550 WILSHIRE BLVD
Mailing Address - Street 2:# 247
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90024-4577
Mailing Address - Country:US
Mailing Address - Phone:310-472-4700
Mailing Address - Fax:
Practice Address - Street 1:6666 CIRCLE VALLEY CIRCLE
Practice Address - Street 2:
Practice Address - City:CULVER CITY
Practice Address - State:CA
Practice Address - Zip Code:90230-7068
Practice Address - Country:US
Practice Address - Phone:310-846-5270
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-14
Last Update Date:2014-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health