| Tania Davoodi, | |
|
12450 Van Nuys Blvd Ste 200, Pacoima, CA 91331-1393 | |
| (818) 896-1161 | |
| (818) 896-5069 |
| Full Name | Tania Davoodi |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 12450 Van Nuys Blvd Ste 200, Pacoima, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407223597 | NPI | - | NPPES |
| 7068 | Medicaid | CA | |
| 7420 | Medicaid | CA | |
| 6758 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 126219 (California) | Primary |
| Entity Name | Tania Davoodi Mft Marriage & Family Therapy Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588422976 PECOS PAC ID: 8022539410 Enrollment ID: O20250228002859 |
| Mailing Address | Practice Location Address |
|---|---|
| Tania Davoodi, 12450 Van Nuys Blvd Ste 200, Pacoima, CA 91331-1393 Ph: (818) 896-1161 | Tania Davoodi, 12450 Van Nuys Blvd Ste 200, Pacoima, CA 91331-1393 Ph: (818) 896-1161 |
Mrs. Angelica Marie Churchian, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 11643 Glenoaks Blvd, Pacoima, CA 91331 Phone: 310-751-5408 | |
Mr. Vernon Wolf Windell, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 12450 Van Nuys Blvd, Suite 200, Pacoima, CA 91331 Phone: 818-896-1161 Fax: 818-896-5069 | |
Patrick Hernan Talbot, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 12450 Van Nuys Blvd Ste 100, Pacoima, CA 91331 Phone: 818-896-8366 | |
Sofia Cardenas, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 11960 Bromont Ave, Pacoima, CA 91331 Phone: 818-901-4830 Fax: 818-901-8985 | |
Maribel Palafox, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 11068 Chivers Ave, Pacoima, CA 91331 Phone: 818-397-0058 | |
Ayana Rose, MFT INTERN Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 12510 Van Nuys Blvd, Pacoima, CA 91331 Phone: 626-896-2255 Fax: 818-899-7293 | |
Miss Patricia Paz Moya, M.A. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 12450 Van Nuys Blvd Ste 100, Pacoima, CA 91331 Phone: 818-896-8366 Fax: 818-896-8392 |