Foundations Treatment Center | |
11500 W Olympic Blvd Ste 420 Los Angeles CA 90064-1564 | |
(888) 800-5761 | |
(818) 530-7808 |
Full Name | Foundations Treatment Center |
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Speciality | Psychologist |
Location | 11500 W Olympic Blvd Ste 420, Los Angeles, California |
Authorized Official Name and Position | Lexi Welanetz-bursin (DIRECTOR) |
Authorized Official Contact | 8888005761 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Foundations Treatment Center 11500 W Olympic Blvd Ste 420 Los Angeles CA 90064-1564 Ph: (888) 800-5761 | Foundations Treatment Center 11500 W Olympic Blvd Ste 420 Los Angeles CA 90064-1564 Ph: (888) 800-5761 |
NPI Number | 1003061029 |
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Provider Enumeration Date | 11/18/2008 |
Last Update Date | 11/18/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003061029 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | (* (Not Available)) | Primary |
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