# MARRIAGE FAMILY THERAPY INSTITUTE OF SOUTHERN CALIFORNIA

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

## Provider details

- **NPI number:** 1700223807
- **Authorized official:** DR. OMID SHAYE MD (CEO)
- **Authorized official phone:** (323) 801-6384

## Contact information

- **Practice address:** 9171 WILSHIRE BLVD STE 680, BEVERLY HILLS, CA 90210-5542
- **Practice address phone:** (323) 801-6384
- **Mailing address:** 1171 S ROBERTSON BLVD \# 237, LOS ANGELES, CA 90035-1403
- **Mailing address phone:** (323) 801-6384

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | 51270 | CA | Yes |

## Other

- **Enumeration date:** 05/29/2013
- **Last updated:** 05/29/2013