Provider Demographics
NPI:1992184535
Name:TOHIDIAN, NILOUFAR B (MS, PSYD,)
Entity type:Individual
Prefix:DR
First Name:NILOUFAR
Middle Name:B
Last Name:TOHIDIAN
Suffix:
Gender:
Credentials:MS, PSYD,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:410 GODDARD
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92618-4610
Mailing Address - Country:US
Mailing Address - Phone:949-244-1773
Mailing Address - Fax:
Practice Address - Street 1:410 GODDARD
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92618-4610
Practice Address - Country:US
Practice Address - Phone:949-244-1773
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-28
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DELPC334101YM0800X
CA86056106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health