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Organization

IZZO MARRIAGE & FAMILY THERAPY PC

Active
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Organization

IZZO MARRIAGE & FAMILY THERAPY PC

Active
Other names
Izzo Marriage and Family Therapy
Organization subpart
No

Provider details

NPI number
Authorized official
TIMA PARVARESH (BILLING AND COMPLIANCE DIRECTOR)
(650) 654-8585
Entity
Organization

Contact information

Practice address
3130 LA SELVA ST STE 300, SAN MATEO, CA 94403-2192
(650) 654-8585
Mailing address
3130 LA SELVA ST STE 300, SAN MATEO, CA 94403-2192
(650) 654-8585

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NPI
1629561816
—
Enumeration date
01/23/2021
Last updated
09/03/2026
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