Provider Demographics
NPI:1407987993
Name:SHAHANGIAN, ARASH ALI (MA, MFT)
Entity Type:Individual
Prefix:
First Name:ARASH
Middle Name:ALI
Last Name:SHAHANGIAN
Suffix:
Gender:M
Credentials:MA, MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 THORNHURST
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92620-2182
Mailing Address - Country:US
Mailing Address - Phone:714-717-9338
Mailing Address - Fax:
Practice Address - Street 1:105 THORNHURST
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92620-2182
Practice Address - Country:US
Practice Address - Phone:714-717-9338
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-08
Last Update Date:2019-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT46318106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist