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Organization
MARRIAGE FAMILY THERAPY INSTITUTE OF SOUTHERN CALIFORNIA
Active
Organization
MARRIAGE FAMILY THERAPY INSTITUTE OF SOUTHERN CALIFORNIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OMID SHAYE MD (CEO)
(323) 801-6384
Entity
Organization
Contact information
Practice address
9171 WILSHIRE BLVD STE 680, BEVERLY HILLS, CA 90210-5542
(323) 801-6384
Mailing address
1171 S ROBERTSON BLVD # 237, LOS ANGELES, CA 90035-1403
(323) 801-6384
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
51270
CA
Other
Enumeration date
05/29/2013
Last updated
05/29/2013
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