Provider Demographics
NPI:1912496720
Name:NARDA TORREALBA-DEROUIN
Entity Type:Organization
Organization Name:NARDA TORREALBA-DEROUIN
Other - Org Name:NARDA DEROUIN, LMFT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NARDA
Authorized Official - Middle Name:
Authorized Official - Last Name:TORREALBA-DEROUIN
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:323-874-1392
Mailing Address - Street 1:4419 VAN NUYS BLVD STE 208
Mailing Address - Street 2:
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91403-5715
Mailing Address - Country:US
Mailing Address - Phone:323-874-1392
Mailing Address - Fax:
Practice Address - Street 1:4419 VAN NUYS BLVD STE 208
Practice Address - Street 2:
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91403-5715
Practice Address - Country:US
Practice Address - Phone:323-874-1392
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-07
Last Update Date:2020-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA106050106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty