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Organization
MARVIN BEHAVIORAL HEALTH CA PC
Active
Organization
MARVIN BEHAVIORAL HEALTH CA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
APARNA ATLURU MD (PRESIDENT)
(713) 818-8133
Entity
Organization
Contact information
Practice address
4136 DEL REY AVE STE 626, MARINA DEL REY, CA 90292-5604
(617) 249-6854
Mailing address
4136 DEL REY AVE, MARINA DEL REY, CA 90292-5604
(617) 249-6854
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
2084P0800X
Psychiatry Physician
—
—
Other
Enumeration date
04/08/2021
Last updated
05/31/2022
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