# LOS ANGELES BDD & BODY IMAGE CLINIC

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

## Provider details

- **NPI number:** 1376959429
- **Authorized official:** MR. ARIE WINOGRAD LMFT (DIRECTOR)
- **Authorized official phone:** (310) 741-2000

## Contact information

- **Practice address:** 10780 SANTA MONICA BLVD STE 120, LOS ANGELES, CA 90025-7613
- **Practice address phone:** (310) 741-2000
- **Practice address fax:** (888) 239-6367
- **Mailing address:** 10780 SANTA MONICA BLVD STE 120, LOS ANGELES, CA 90025-7613
- **Mailing address phone:** (310) 741-2000
- **Mailing address fax:** (888) 239-6367

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | MFC39567 | CA | Yes |

## Other

- **Enumeration date:** 07/09/2014
- **Last updated:** 07/09/2014