Provider Demographics
NPI:1003418484
Name:NARGESS FASSIH
Entity Type:Organization
Organization Name:NARGESS FASSIH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LMFT
Authorized Official - Prefix:MS
Authorized Official - First Name:NARGESS
Authorized Official - Middle Name:
Authorized Official - Last Name:FASSIH
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:310-387-0655
Mailing Address - Street 1:9070 IRVINE CENTER DR STE 250
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92618-4692
Mailing Address - Country:US
Mailing Address - Phone:714-698-9443
Mailing Address - Fax:
Practice Address - Street 1:9070 IRVINE CENTER DR STE 250
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92618-4692
Practice Address - Country:US
Practice Address - Phone:714-698-9443
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-11
Last Update Date:2021-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty