Provider Demographics
NPI:1629843529
Name:STEVE N KOBASHIGAWA A MFT PROF CORP
Entity Type:Organization
Organization Name:STEVE N KOBASHIGAWA A MFT PROF CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:NOBUMASA
Authorized Official - Last Name:KOBASHIGAWA
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:323-645-0050
Mailing Address - Street 1:510 SINCLAIR AVE
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91206-2636
Mailing Address - Country:US
Mailing Address - Phone:323-251-5908
Mailing Address - Fax:
Practice Address - Street 1:301 E GLENOAKS BLVD STE 3
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91207-2118
Practice Address - Country:US
Practice Address - Phone:323-251-5908
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-20
Last Update Date:2023-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty