| Bethany Christian Services Of Southern California, Inc. | |
|
16700 Valley View Ave Suite 210 La Mirada CA 90638-5830 | |
| (714) 994-0500 | |
| (714) 994-0515 |
| Full Name | Bethany Christian Services Of Southern California, Inc. |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 16700 Valley View Ave, La Mirada, California |
| Authorized Official Name and Position | Jeff Carlson (BRANCH DIRECTOR) |
| Authorized Official Contact | 7149940500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bethany Christian Services Of Southern California, Inc. 16700 Valley View Ave Suite 210 La Mirada CA 90638-5830 Ph: (714) 994-0500 | Bethany Christian Services Of Southern California, Inc. 16700 Valley View Ave Suite 210 La Mirada CA 90638-5830 Ph: (714) 994-0500 |
| NPI Number | 1801233432 |
|---|---|
| Provider Enumeration Date | 05/22/2013 |
| Last Update Date | 05/22/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801233432 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | MFC38441 (California) | Primary |
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