Provider Demographics
NPI:1811122450
Name:HOSSEINI, ASHRAF (MS)
Entity type:Individual
Prefix:MRS
First Name:ASHRAF
Middle Name:
Last Name:HOSSEINI
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27138 INDIAN PEAK RD
Mailing Address - Street 2:
Mailing Address - City:RANCHO PALOS VERDES
Mailing Address - State:CA
Mailing Address - Zip Code:90275-2221
Mailing Address - Country:US
Mailing Address - Phone:310-866-6700
Mailing Address - Fax:
Practice Address - Street 1:24520 HAWTHORNE BLVD
Practice Address - Street 2:SUITE 106
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-6800
Practice Address - Country:US
Practice Address - Phone:310-866-6700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-27
Last Update Date:2010-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC31226106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist