| E.l. Foroutan Marriage And Family Therapy Inc. | |
|
2656 29th St Ste 208 Santa Monica CA 90405-2947 | |
| (213) 538-2790 | |
| Not Available |
| Full Name | E.l. Foroutan Marriage And Family Therapy Inc. |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 2656 29th St Ste 208, Santa Monica, California |
| Authorized Official Name and Position | Erika Lauren Foroutan (OWNER/CEO) |
| Authorized Official Contact | 2135382790 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| E.l. Foroutan Marriage And Family Therapy Inc. 6121 1/2 Glen Holly St Los Angeles CA 90068-2301 Ph: (562) 619-2400 | E.l. Foroutan Marriage And Family Therapy Inc. 2656 29th St Ste 208 Santa Monica CA 90405-2947 Ph: (213) 538-2790 |
| NPI Number | 1669100301 |
|---|---|
| Provider Enumeration Date | 08/10/2022 |
| Last Update Date | 08/10/2022 |
| Certification Date | 08/10/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669100301 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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