# NIDO INDIVIDUAL AND FAMILY THERAPY INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033977277
- **Authorized official:** JENNIFER ORTEGA (OPERATIONS MANAGER)
- **Authorized official phone:** (530) 316-4248

## Contact information

- **Practice address:** 806 MANHATTAN BEACH BLVD STE 103, MANHATTAN BEACH, CA 90266-4960
- **Practice address phone:** (562) 270-5041
- **Mailing address:** PO BOX 19, PORTOLA, CA 96122-0019
- **Mailing address phone:** (562) 270-5041

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |

## Other

- **Enumeration date:** 03/12/2024
- **Last updated:** 11/12/2025
