| Behnam Keyvan Lmft Inc | |
|
5525 Canoga Ave Woodland Hills CA 91367-6643 | |
| (818) 448-2753 | |
| Not Available |
| Full Name | Behnam Keyvan Lmft Inc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 5525 Canoga Ave, Woodland Hills, California |
| Authorized Official Name and Position | Behnam Keyvan (OWNER) |
| Authorized Official Contact | 8184482753 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Behnam Keyvan Lmft Inc 5525 Canoga Ave Woodland Hills CA 91367-6643 Ph: () - | Behnam Keyvan Lmft Inc 5525 Canoga Ave Woodland Hills CA 91367-6643 Ph: (818) 448-2753 |
| NPI Number | 1306580717 |
|---|---|
| Provider Enumeration Date | 04/21/2022 |
| Last Update Date | 04/21/2022 |
| Certification Date | 04/21/2022 |
| Medicare PECOS PAC ID | 3173055514 |
|---|---|
| Medicare Enrollment ID | O20241010001393 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306580717 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Behnam Keyvan |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1972626646 PECOS PAC ID: 4082146428 Enrollment ID: I20241010001434 |
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