Roman M Shain, | |
6305 Woodman Ave, Van Nuys, CA 91401-2346 | |
(818) 909-3380 | |
(818) 909-3383 |
Full Name | Roman M Shain |
---|---|
Gender | Male |
Speciality | Marriage & Family Therapist |
Location | 6305 Woodman Ave, Van Nuys, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134250467 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | MFC39885 (California) | Primary |
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 |
---|---|
Roman M Shain, 5809 Reseda Blvd, #110, Tarzana, CA 91356-2026 Ph: (818) 609-1804 | Roman M Shain, 6305 Woodman Ave, Van Nuys, CA 91401-2346 Ph: (818) 909-3380 |
Kristyn Mason, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 16360 Roscoe Blvd Unit 2, Van Nuys, CA 91406 Phone: 818-901-4830 | |
Mrs. Tannaz Separzadeh, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 15339 Saticoy St, Van Nuys, CA 91406 Phone: 818-267-2600 | |
Gayle Elise Arst, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 14640 Victory Blvd, #100, Van Nuys, CA 91411 Phone: 818-374-6901 Fax: 818-374-6908 | |
Frances Lucille Bennett, LMFT124984 Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 14535 Sherman Cir, Van Nuys, CA 91405 Phone: 818-901-4930 | |
Mrs. Glenda Josefina Moghim, MFTI Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 6850 Van Nuys Blvd Ste 202, Van Nuys, CA 91405 Phone: 818-786-2079 | |
Mr. Robert Florentino Abad Pascual, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 16650 Sherman Way, Van Nuys, CA 91406 Phone: 818-901-4836 | |
Hyun Kyung Carol Sim, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 15350 Sherman Way Ste 200, Van Nuys, CA 91406 Phone: 818-267-1100 |