Organization Active NPI

Lyubov Burgina Inc.

  • Marriage & Family Therapist
  • Gardena, CA
National Provider Identifier
1336795608
Registry record updated Sep 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
LYUBOV BURGINA INC.
Practice address
14903 S Normandie Ave Apt 214
Gardena, CA 90247-2968
Phone
(323) 606-3200
Fax
(323) 849-3396
NPI assigned
Aug 13, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2020

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

Authorized official

Name
Ms. Lyubov BurginaNPI 1376707554
Title
LMFT
Phone
(323) 606-3200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

14903 S Normandie Ave Apt 214
Gardena, CA 90247-2968

Mailing address

14903 S Normandie Ave Apt 214
Gardena, CA 90247-2968
Phone (323) 606-3200

Other practice location 1

1117 W Gardena Blvd Ste 203
Gardena, CA 90247-4830
Phone (310) 984-6570

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240413000013 CA Part B Supplier - Clinic/Group Practice 3274972039 Receives reassigned benefits from 1 practitioner
Practice locations: Gardena, CA

National Provider Directory

National Provider Directory

Locations

1117 W Gardena Blvd
Ste 203
Gardena, CA 90247
Phone (310) 984-6570

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1565654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600646400000",
    "number": "1336795608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14903 S NORMANDIE AVE APT 214",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902472968",
            "telephone_number": "323-606-3200",
            "fax_number": "323-849-3396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14903 S NORMANDIE AVE APT 214",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902472968",
            "telephone_number": "323-606-3200",
            "fax_number": "323-849-3396"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1117 W Gardena Blvd Ste 203",
            "address_purpose": "LOCATION",
            "city": "Gardena",
            "state": "CA",
            "postal_code": "902474830",
            "country_code": "US",
            "telephone_number": "310-984-6570",
            "fax_number": "323-849-3396",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LYUBOV BURGINA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-13",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-21",
        "status": "A",
        "authorized_official_last_name": "BURGINA",
        "authorized_official_first_name": "LYUBOV",
        "authorized_official_title_or_position": "LMFT",
        "authorized_official_telephone_number": "323-606-3200",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.