Provider Demographics
NPI:1740771393
Name:SARSHAR, NEGAR (LMFT)
Entity Type:Individual
Prefix:
First Name:NEGAR
Middle Name:
Last Name:SARSHAR
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2110 W SUNSET BLVD STE P
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90026-3125
Mailing Address - Country:US
Mailing Address - Phone:323-244-2066
Mailing Address - Fax:
Practice Address - Street 1:2110 W SUNSET BLVD STE P
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90026-3125
Practice Address - Country:US
Practice Address - Phone:323-244-2066
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-18
Last Update Date:2018-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT94664106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CALMFT94664OtherBBBS