Dylan Cimbura-Hernandez Licensed Marriage and Family Therapist #120829

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

DYLAN CIMBURA-HERNANDEZ LICENSED MARRIAGE AND FAMILY THERAPIST #120829

Practice address

2625 Wilson St
Eureka, CA 95503-4829

Phone

(818) 669-3517

NPI assigned

May 18, 2023

Organization subpart

No

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

Authorized official

Name

Dylan Cimbura-Hernandez, LMFTNPI 1548741689

Title

Owner

Phone

(818) 669-3517

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Dylan Cimbura-Hernandez

  • Marriage & Family Therapist
  • Eureka, CA
  • NPI 1548741689
  NPD Authorized official

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

{
    "created_epoch": "1684368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684368000000",
    "number": "1891486916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 MINETTE LN",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955038534",
            "telephone_number": "818-669-3517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 WILSON ST",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955034829",
            "telephone_number": "818-669-3517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYLAN CIMBURA-HERNANDEZ LICENSED MARRIAGE AND FAMILY THERAPIST #120829",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-18",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A",
        "authorized_official_last_name": "CIMBURA-HERNANDEZ",
        "authorized_official_first_name": "DYLAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-669-3517",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in Eureka, CA
• Providers in Eureka, 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 May 18, 2023; 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.