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22231 Mulholland Hwy Ste 200 Calabasas CA 91302-5173 | |
| (310) 853-2489 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 22231 Mulholland Hwy Ste 200, Calabasas, California |
| Authorized Official Name and Position | Moreen Rubin (CEO) |
| Authorized Official Contact | 8187303673 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
4774 Park Granada Unit 8742 Calabasas CA 91372-7037 Ph: (818) 730-3673 | 22231 Mulholland Hwy Ste 200 Calabasas CA 91302-5173 Ph: (310) 853-2489 |
| NPI Number | 1568111839 |
|---|---|
| Provider Enumeration Date | 03/22/2022 |
| Last Update Date | 09/16/2024 |
| Certification Date | 09/16/2024 |
| Medicare PECOS PAC ID | 6709327703 |
|---|---|
| Medicare Enrollment ID | O20240918000582 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568111839 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Moreen Rubin |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1023484433 PECOS PAC ID: 2062857170 Enrollment ID: I20240823001632 |
| Provider Name | Hannah Cobb |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1285319095 PECOS PAC ID: 4880126226 Enrollment ID: I20241010001527 |
| Provider Name | Amy Lynn Ryk |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1457843005 PECOS PAC ID: 8426580770 Enrollment ID: I20241011002588 |
| Provider Name | Monica Marie Nevarez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114578622 PECOS PAC ID: 5193250264 Enrollment ID: I20241126002343 |
| Provider Name | Abigail Rubin Rock |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1124660758 PECOS PAC ID: 8325573447 Enrollment ID: I20241127000002 |
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