| Kohan International Foundation | |
|
5601 W Slauson Ave 192 Culver City CA 90230-6582 | |
| (310) 968-6648 | |
| Not Available |
| Full Name | Kohan International Foundation |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 5601 W Slauson Ave, Culver City, California |
| Authorized Official Name and Position | Bethie Kohanchi (CEO) |
| Authorized Official Contact | 3109686648 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kohan International Foundation 5601 W Slauson Ave 192 Culver City CA 90230-6582 Ph: (310) 968-6648 | Kohan International Foundation 5601 W Slauson Ave 192 Culver City CA 90230-6582 Ph: (310) 968-6648 |
| NPI Number | 1538424049 |
|---|---|
| Provider Enumeration Date | 07/10/2012 |
| Last Update Date | 07/10/2012 |
| Medicare PECOS PAC ID | 6406169820 |
|---|---|
| Medicare Enrollment ID | O20150714002489 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538424049 | NPI | - | NPPES |
| 48582 | Other | CA | MARRIAGE AND FAMILY THERAPIST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 48582 (California) | Primary |
| Provider Name | Parviz Babalavi |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1689820011 PECOS PAC ID: 8022323450 Enrollment ID: I20150813012559 |
| Provider Name | Dorene Lehavi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902342074 PECOS PAC ID: 3072976497 Enrollment ID: I20230831002604 |
| Provider Name | Bethie Kohanchi Kohanbash |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1609908730 PECOS PAC ID: 7214240647 Enrollment ID: I20240115001421 |
| Provider Name | David Fujinaka |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1215617196 PECOS PAC ID: 2567814254 Enrollment ID: I20240118001038 |
| Provider Name | Diana Portillo |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1427786789 PECOS PAC ID: 1254784796 Enrollment ID: I20240131002398 |
| Provider Name | Bethie Kohanchi Kohanbash |
|---|---|
| Provider Type | Practitioner - Other (non-physician) |
| Provider Identifiers | NPI Number: 1609908730 PECOS PAC ID: 7214240647 Enrollment ID: I20240205001699 |
| Provider Name | Ruma Podder |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1568765345 PECOS PAC ID: 8123462546 Enrollment ID: I20240213004911 |
| Provider Name | Jane Archbold Pettis Winslow |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1912440488 PECOS PAC ID: 7416391214 Enrollment ID: I20240220003983 |
| Provider Name | Andrea Beth Reitman |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1104336197 PECOS PAC ID: 8921448200 Enrollment ID: I20240503000744 |
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