| Lyubov Burgina Inc. | |
|
14903 S Normandie Ave Apt 214 Gardena CA 90247-2968 | |
| (323) 606-3200 | |
| (323) 849-3396 |
| Full Name | Lyubov Burgina Inc. |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 14903 S Normandie Ave Apt 214, Gardena, California |
| Authorized Official Name and Position | Lyubov Burgina (LMFT) |
| Authorized Official Contact | 3236063200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lyubov Burgina Inc. 14903 S Normandie Ave Apt 214 Gardena CA 90247-2968 Ph: (323) 606-3200 | Lyubov Burgina Inc. 14903 S Normandie Ave Apt 214 Gardena CA 90247-2968 Ph: (323) 606-3200 |
| NPI Number | 1336795608 |
|---|---|
| Provider Enumeration Date | 08/13/2019 |
| Last Update Date | 09/21/2020 |
| Certification Date | 09/21/2020 |
| Medicare PECOS PAC ID | 3274972039 |
|---|---|
| Medicare Enrollment ID | O20240413000013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336795608 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Lyubov Burgina |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1376707554 PECOS PAC ID: 4183063944 Enrollment ID: I20240430004193 |
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