Provider Demographics
NPI:1023492204
Name:SAIZ, ENEDINA ACOSTA (MS, LMFT#150158)
Entity type:Individual
Prefix:MRS
First Name:ENEDINA
Middle Name:ACOSTA
Last Name:SAIZ
Suffix:
Gender:F
Credentials:MS, LMFT#150158
Other - Prefix:MS
Other - First Name:ENEDINA
Other - Middle Name:
Other - Last Name:ACOSTA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:128 S COLLEGE ST
Mailing Address - Street 2:
Mailing Address - City:LA HABRA
Mailing Address - State:CA
Mailing Address - Zip Code:90631-5503
Mailing Address - Country:US
Mailing Address - Phone:562-378-9902
Mailing Address - Fax:
Practice Address - Street 1:128 S COLLEGE ST
Practice Address - Street 2:
Practice Address - City:LA HABRA
Practice Address - State:CA
Practice Address - Zip Code:90631-5503
Practice Address - Country:US
Practice Address - Phone:562-378-9902
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-16
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA150158106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1023492204Medicaid