| Beautiful Life Services, Licensed Clinical Social Worker Inc. | |
|
9700 Reseda Blvd # 203 Northridge CA 91324-2025 | |
| (818) 882-8776 | |
| (818) 882-8776 |
| Full Name | Beautiful Life Services, Licensed Clinical Social Worker Inc. |
|---|---|
| Speciality | Social Worker |
| Location | 9700 Reseda Blvd # 203, Northridge, California |
| Authorized Official Name and Position | Arpe Asaturyan (PRESIDENT) |
| Authorized Official Contact | 8188828776 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Beautiful Life Services, Licensed Clinical Social Worker Inc. 9700 Reseda Blvd # 203 Northridge CA 91324-2025 Ph: () - | Beautiful Life Services, Licensed Clinical Social Worker Inc. 9700 Reseda Blvd # 203 Northridge CA 91324-2025 Ph: (818) 882-8776 |
| NPI Number | 1427577659 |
|---|---|
| Provider Enumeration Date | 09/19/2017 |
| Last Update Date | 09/19/2017 |
| Medicare PECOS PAC ID | 4688931777 |
|---|---|
| Medicare Enrollment ID | O20171128001028 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427577659 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 73400 (California) | Primary |
| Provider Name | Arpe Asaturyan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295015220 PECOS PAC ID: 2769749852 Enrollment ID: I20171128002842 |
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