Los Angeles BDD & Body Image Clinic

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC39567 Issued in CA

Legal business name

LOS ANGELES BDD & BODY IMAGE CLINIC

Practice address

10780 Santa Monica Blvd Ste 120
Los Angeles, CA 90025-7613

Phone

(310) 741-2000

Fax

(888) 239-6367

NPI assigned

Jul 9, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Arie Winograd, LMFT

Title

Director

Phone

(310) 741-2000

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1404864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404864000000",
    "number": "1376959429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10780 SANTA MONICA BLVD STE 120",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900257613",
            "telephone_number": "310-741-2000",
            "fax_number": "888-239-6367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10780 SANTA MONICA BLVD STE 120",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900257613",
            "telephone_number": "310-741-2000",
            "fax_number": "888-239-6367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOS ANGELES BDD & BODY IMAGE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-09",
        "last_updated": "2014-07-09",
        "status": "A",
        "authorized_official_last_name": "WINOGRAD",
        "authorized_official_first_name": "ARIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "310-741-2000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC39567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2014; 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.