Provider Demographics
NPI:1861106445
Name:NASSIM SANANI FAMILY THERAPY P.C.
Entity type:Organization
Organization Name:NASSIM SANANI FAMILY THERAPY P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:NASSIM
Authorized Official - Middle Name:
Authorized Official - Last Name:SANANI
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:818-621-5665
Mailing Address - Street 1:15300 VENTURA BLVD STE 508A
Mailing Address - Street 2:
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91403-3103
Mailing Address - Country:US
Mailing Address - Phone:818-621-5665
Mailing Address - Fax:
Practice Address - Street 1:15300 VENTURA BLVD STE 508A
Practice Address - Street 2:
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91403-3103
Practice Address - Country:US
Practice Address - Phone:818-621-5665
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-09
Last Update Date:2023-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty