Ilya Shtykan, LMFT | |
1133 N Detroit St Apt 2, West Hollywood, CA 90046-5843 | |
(818) 770-0654 | |
Not Available |
Full Name | Ilya Shtykan |
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Gender | Male |
Speciality | Marriage & Family Therapist |
Location | 1133 N Detroit St Apt 2, West Hollywood, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598129017 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | LMFT128586 (California) | Primary |
106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
Entity Name | Thriveworks Clinical - California Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801481395 PECOS PAC ID: 1759785645 Enrollment ID: O20220421000008 |
Mailing Address | Practice Location Address |
---|---|
Ilya Shtykan, LMFT 18735 Hatteras St Unit 42, Tarzana, CA 91356-1467 Ph: () - | Ilya Shtykan, LMFT 1133 N Detroit St Apt 2, West Hollywood, CA 90046-5843 Ph: (818) 770-0654 |
Elizabeth Burns, AMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 519 N La Cienega Blvd Ste 210, West Hollywood, CA 90048 Phone: 424-332-4552 | |
Marina Berkman, M.S., MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 7377 Santa Monica Blvd, West Hollywood, CA 90046 Phone: 323-851-8202 Fax: 323-876-6140 | |
Scott Seomin, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 8235 Santa Monica Blvd Ste 302, West Hollywood, CA 90046 Phone: 310-892-4284 Fax: 323-366-2966 | |
Sydney Simone Johnson, LMFT 142306 Couples Therapy Medicare: Medicare Enrolled Practice Location: 8605 Santa Monica Blvd, West Hollywood, CA 90069 Phone: 909-689-7241 | |
Cory Schneider, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1317 N Sweetzer Ave, #3, West Hollywood, CA 90069 Phone: 213-840-5938 | |
Mr. Christopher Joel Tromba, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 7000 Romaine St Ste 207, West Hollywood, CA 90038 Phone: 805-701-8985 | |
Mr. Thomas James Mondragon, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 8235 Santa Monica Blvd Ste 309, West Hollywood, CA 90046 Phone: 310-779-3113 |