Provider Demographics
NPI:1114267531
Name:PIRNIA, NANAZ M (PHD, BCIA, MFT)
Entity Type:Individual
Prefix:DR
First Name:NANAZ
Middle Name:M
Last Name:PIRNIA
Suffix:
Gender:F
Credentials:PHD, BCIA, MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9903 SANTA MONICA BLVD
Mailing Address - Street 2:SUITE #281
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90212
Mailing Address - Country:US
Mailing Address - Phone:310-286-1480
Mailing Address - Fax:310-286-1418
Practice Address - Street 1:9014 BURTON WAY,
Practice Address - Street 2:SUITE #C
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90211
Practice Address - Country:US
Practice Address - Phone:310-286-1480
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-21
Last Update Date:2013-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMW23132106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist