8616 Group, Llc | |
8616 La Tijera Blvd Suite 404 Los Angeles CA 90045-3944 | |
(310) 982-6062 | |
Not Available |
Full Name | 8616 Group, Llc |
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Speciality | Marriage & Family Therapist |
Location | 8616 La Tijera Blvd, Los Angeles, California |
Authorized Official Name and Position | Darin Bennett (CLINICAL DIRECTOR) |
Authorized Official Contact | 3102881718 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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8616 Group, Llc 8616 La Tijera Blvd Suite 404 Los Angeles CA 90045-3944 Ph: (310) 982-6062 | 8616 Group, Llc 8616 La Tijera Blvd Suite 404 Los Angeles CA 90045-3944 Ph: (310) 982-6062 |
NPI Number | 1750749784 |
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Provider Enumeration Date | 02/04/2016 |
Last Update Date | 02/04/2016 |
Identifier | Type | State | Issuer |
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1750749784 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | MFT47879 (California) | Primary |
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