Provider Demographics
NPI:1609671726
Name:SOZAHDAH, HAMIDA
Entity type:Individual
Prefix:
First Name:HAMIDA
Middle Name:
Last Name:SOZAHDAH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25002 CLIFFROSE ST
Mailing Address - Street 2:
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92883-8469
Mailing Address - Country:US
Mailing Address - Phone:310-663-2432
Mailing Address - Fax:
Practice Address - Street 1:6506 W 6TH ST
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90048-4716
Practice Address - Country:US
Practice Address - Phone:310-663-2432
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-13
Last Update Date:2025-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health