Individual ProviderSoha DardashtiMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address1355 Westwood Blvd, #9, Los Angeles, CA 90024(310) 592-5921PECOS EnrollmentBased on the most recent information from CMS, provider Soha Dardashti does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1326338757Provider TypeIndividualFull NameDardashti, SohaTitleMs.CredentialLMFTGenderFemaleSole ProprietorNoEnumeration Date4/19/2011Last Updated6/26/2019Contact InformationPractice LocationPractice Address1355 Westwood Blvd, #9, Los Angeles, CA 90024Phone(310) 592-5921FaxUnlisted FaxMailing LocationMailing Address9663 Santa Monica Blvd #1119, Beverly Hills, CA 90210Phone(310) 592-5921FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicense58682California