Provider Demographics
NPI:1003063207
Name:OFIR, SARIT (PSYD)
Entity Type:Individual
Prefix:
First Name:SARIT
Middle Name:
Last Name:OFIR
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5060 ALDEA AVE
Mailing Address - Street 2:
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91316-3404
Mailing Address - Country:US
Mailing Address - Phone:818-571-1120
Mailing Address - Fax:818-789-7175
Practice Address - Street 1:5060 ALDEA AVE
Practice Address - Street 2:
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91316
Practice Address - Country:US
Practice Address - Phone:818-571-1120
Practice Address - Fax:818-789-7175
Is Sole Proprietor?:No
Enumeration Date:2008-08-19
Last Update Date:2013-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA25270103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical