Provider Demographics
NPI:1942072079
Name:INDIVIDUAL AND FAMILY FOCUS THERAPY INC
Entity Type:Organization
Organization Name:INDIVIDUAL AND FAMILY FOCUS THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:GUADALUPE
Authorized Official - Middle Name:H
Authorized Official - Last Name:CABRAL
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:310-531-3258
Mailing Address - Street 1:14623 HAWTHORNE BLVD STE 309
Mailing Address - Street 2:
Mailing Address - City:LAWNDALE
Mailing Address - State:CA
Mailing Address - Zip Code:90260-1590
Mailing Address - Country:US
Mailing Address - Phone:310-531-3258
Mailing Address - Fax:424-263-2868
Practice Address - Street 1:14623 HAWTHORNE BLVD STE 309
Practice Address - Street 2:
Practice Address - City:LAWNDALE
Practice Address - State:CA
Practice Address - Zip Code:90260-1590
Practice Address - Country:US
Practice Address - Phone:310-531-3258
Practice Address - Fax:424-263-2868
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-23
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)