| Thercare | |
|
11980 San Vicente Blvd., Suite 711 Los Angeles CA 90049 | |
| (310) 949-9267 | |
| (310) 826-7823 |
| Full Name | Thercare |
|---|---|
| Speciality | Psychologist - Addiction (substance Use Disorder) |
| Location | 11980 San Vicente Blvd., Suite 711, Los Angeles, California |
| Authorized Official Name and Position | Amber Shaw Rosenstock (PSYCHOLOGIST) |
| Authorized Official Contact | 3109499267 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thercare 11980 San Vicente Blvd., Suite 711 Los Angeles CA 90049 Ph: (310) 949-9267 | Thercare 11980 San Vicente Blvd., Suite 711 Los Angeles CA 90049 Ph: (310) 949-9267 |
| NPI Number | 1033423538 |
|---|---|
| Provider Enumeration Date | 07/27/2010 |
| Last Update Date | 07/27/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033423538 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TA0400X | Psychologist - Addiction (substance Use Disorder) | PSY22454 (California) | Primary |
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