# RISKIN BANKER PSYCHOTHERAPY

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

## Provider details

- **NPI number:** 1346420320
- **Authorized official:** DR. MICHAEL RISKIN PHD (DIRECTOR)
- **Authorized official phone:** (714) 953-9882

## Contact information

- **Practice address:** 1913 E 17TH ST STE 107, SANTA ANA, CA 92705-8627
- **Practice address phone:** (714) 953-9882
- **Practice address fax:** (714) 953-2094
- **Mailing address:** 1913 E 17TH ST STE 107, SANTA ANA, CA 92705-8627
- **Mailing address phone:** (714) 953-9882
- **Mailing address fax:** (714) 953-2094

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | MFC8768 | CA | Yes |

## Other

- **Enumeration date:** 11/07/2007
- **Last updated:** 11/07/2007
