Charro Bijan Kennebruew, - Couples Therapy in Lynwood, CA

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Charro Bijan Kennebruew, is a Licensed Psychiatric Technician based in Lynwood, California. Charro Bijan Kennebruew is licensed to practice in California (license number 37712) and her current practice location is 2640 Industry Way, Lynwood, California. She can be reached at her office (for appointments etc.) via phone at (310) 627-4525.

NPI number for Charro Bijan Kennebruew is 1063053684 and her current mailing address is 2640 Industry Way, Lynwood, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1063053684.

Contact Information

Charro Bijan Kennebruew,
2640 Industry Way,
Lynwood, CA 90262-4284
(310) 627-4525
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameCharro Bijan Kennebruew
GenderFemale
SpecialityLicensed Psychiatric Technician
Location2640 Industry Way, Lynwood, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1063053684
  • Provider Enumeration Date: 10/04/2019
  • Last Update Date: 01/05/2022

Medical Identifiers

Medical identifiers for Charro Bijan Kennebruew such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063053684NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
106H00000XMarriage & Family Therapist APCC7330 (California)Secondary
106H00000XMarriage & Family Therapist (* (Not Available))Secondary
171M00000XCase Manager/care Coordinator (* (Not Available))Secondary
167G00000XLicensed Psychiatric Technician 37712 (California)Primary
1041C0700XSocial Worker - Clinical (* (Not Available))Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Charro Bijan Kennebruew is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Charro Bijan Kennebruew,
2640 Industry Way,
Lynwood, CA 90262-4284

Ph: (310) 627-4525		Charro Bijan Kennebruew,
2640 Industry Way,
Lynwood, CA 90262-4284

Ph: (310) 627-4525

Reviews and Comments


Licensed Psychiatric Technician in Lynwood, CA


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.