| Los Angeles Therapy Institute | |
|
127 Broadway Ste 200 Santa Monica CA 90401-2330 | |
| (310) 857-4946 | |
| Not Available |
| Full Name | Los Angeles Therapy Institute |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 127 Broadway Ste 200, Santa Monica, California |
| Authorized Official Name and Position | Soheila Hosseini (OWNER) |
| Authorized Official Contact | 3104900447 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Los Angeles Therapy Institute 20715 Timberlake Rd Ste 102 Lynchburg VA 24502-7217 Ph: (434) 485-5814 | Los Angeles Therapy Institute 127 Broadway Ste 200 Santa Monica CA 90401-2330 Ph: (310) 857-4946 |
| NPI Number | 1164024535 |
|---|---|
| Provider Enumeration Date | 11/11/2020 |
| Last Update Date | 11/11/2020 |
| Certification Date | 11/11/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164024535 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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