DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

IMMANUEL RAJKAMAL PONNAIYA, LMFT

Active Sole Proprietor

IMMANUEL RAJKAMAL PONNAIYA, LMFT is a Marriage & Family Therapist healthcare provider located in SAUGUS, California. NPI 1174323570 is currently active in the NPPES registry. Verify at CMS.

Marriage & Family Therapist · SAUGUS, CA

Registration Details

NPI Number
1174323570
Provider Type
Individual
Gender
Male
NPI Issued
Mar 14, 2025 (1.4465973903856 yrs)
Last Updated
Mar 14, 2025
License
42258 (CA)
Sole Proprietor
Yes

Practice Information

Address
26893 BOUQUET CANYON RD # C412
SAUGUS, CA, 913503500
Browse CA providers · Browse ZIP 91350
Phone
6614303321
Primary Specialty
Marriage & Family Therapist
106H00000X

Other Marriage & Family Therapist Providers in SAUGUS, CA

Name Credential NPI
GABRIEL ERIC LABAT 1407310840
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.