Monica Farassat Kadkhoda | Santa Monica, CA • PECOS Search

Monica Farassat Kadkhoda

Marriage & Family Therapist

Behavioral Health & Social Service Providers

3201 Wilshire Blvd, Suite 201, Santa Monica, CA 90403-2344

PECOS Enrollment

Based on the most recent information from CMS, provider Monica Farassat Kadkhoda does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1700070836
Provider Type
Individual
Full Name
Kadkhoda, Monica Farassat
Title
Mrs.
Credential
M.A.

Gender
Female
Sole Proprietor
Yes
Enumeration Date
8/31/2007
Last Updated
5/13/2010

Contact Information

Practice Location

3201 Wilshire Blvd, Suite 201, Santa Monica, CA 90403-2344

(310) 829-7868

Mailing Location

3201 Wilshire Blvd, Suite 201, Santa Monica, CA 90403-2344

(310) 829-7868

Provider Taxonomies

Code	Description	License
Code 106H00000X Primary	Description Marriage & Family Therapist Behavioral Health & Social Service Providers	License MFC24491 California