Individual provider Active NPI

Gunilla A David, MFT

  • Marriage & Family Therapist
  • Beverly Hills, CA
National Provider Identifier
1174881619
Registry record updated May 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC # 50678 Issued in CA
Practice address
9720 Wilshire Blvd
# 708
Beverly Hills, CA 90212-2021
Phone
(310) 229-5222
Fax
(818) 508-7886
NPI assigned
May 2, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC # 50678 CA Primary

Addresses

Primary practice location

9720 Wilshire Blvd
# 708
Beverly Hills, CA 90212-2021

Mailing address

9720 Wilshire Blvd
# 708
Beverly Hills, CA 90212-2021
Phone (310) 229-5222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MFC # 50678CAMDMarriage & Family Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1335916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335916800000",
    "number": "1174881619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9720 WILSHIRE BLVD",
            "address_2": "# 708",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902122021",
            "telephone_number": "310-229-5222",
            "fax_number": "818-508-7886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9720 WILSHIRE BLVD",
            "address_2": "# 708",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902122021",
            "telephone_number": "310-229-5222",
            "fax_number": "818-508-7886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVID",
        "first_name": "GUNILLA",
        "middle_name": "A",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-02",
        "last_updated": "2012-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC # 50678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.