# THERCARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033423538
- **Authorized official:** DR. AMBER SHAW ROSENSTOCK M.D.R., PH. D. (PSYCHOLOGIST)
- **Authorized official phone:** (310) 949-9267

## Contact information

- **Practice address:** 11980 SAN VICENTE BLVD., SUITE 711, LOS ANGELES, CA 90049
- **Practice address phone:** (310) 949-9267
- **Practice address fax:** (310) 826-7823
- **Mailing address:** 11980 SAN VICENTE BLVD., SUITE 711, LOS ANGELES, CA 90049
- **Mailing address phone:** (310) 949-9267
- **Mailing address fax:** (310) 826-7823

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TA0400X | Addiction (Substance Use Disorder) Psychologist | PSY22454 | CA | Yes |

## Other

- **Enumeration date:** 07/27/2010
- **Last updated:** 07/27/2010