| Marriage & Family Therapy With Asal Larry And Associates Inc | |
|
1600 Dove St Ste 335 Newport Beach CA 92660-1433 | |
| (949) 395-8246 | |
| (760) 859-3877 |
| Full Name | Marriage & Family Therapy With Asal Larry And Associates Inc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1600 Dove St Ste 335, Newport Beach, California |
| Authorized Official Name and Position | Asal Larry (OWNER) |
| Authorized Official Contact | 9493958246 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marriage & Family Therapy With Asal Larry And Associates Inc 28241 Crown Valley Pkwy # F306 Laguna Niguel CA 92677-4441 Ph: (949) 395-8246 | Marriage & Family Therapy With Asal Larry And Associates Inc 1600 Dove St Ste 335 Newport Beach CA 92660-1433 Ph: (949) 395-8246 |
| NPI Number | 1346986528 |
|---|---|
| Provider Enumeration Date | 05/10/2022 |
| Last Update Date | 03/06/2023 |
| Certification Date | 03/06/2023 |
| Medicare PECOS PAC ID | 1951745116 |
|---|---|
| Medicare Enrollment ID | O20240215004274 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346986528 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Asal Larry |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1083958912 PECOS PAC ID: 2860836020 Enrollment ID: I20240325003498 |
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