Organization
SUMA MARRIAGE AND FAMILY THERAPY PRACTICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY ISKANDER LMFT (CHIEF FINANCIAL OFFICER)
(805) 372-1657
Entity
Organization
Contact information
Practice address
12240 VENICE BLVD STE 15A, LOS ANGELES, CA 90066-3891
(805) 372-1657
Mailing address
13157 MINDANAO WAY # 554, MARINA DEL REY, CA 90292-6307
(805) 372-1657
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
04/14/2025
Last updated
04/14/2025
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