MEDICARE: DR. MARGARET LEE AVINERI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	MFC27659	CA

General Provider Information

NPI Number	:	1114078987
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARGARET LEE AVINERI

Provider Business Mailing Address
First Line	:	PO BOX 4084
Second Line	:
City	:	PALOS VERDES PENINSULA
State	:	CA
Zip	:	90274-9559
Country	:	US
Telephone Number	:	310-791-1051
Fax Number	:

Provider Business Practice Location Address
First Line	:	3580 WILSHIRE BLVD
Second Line	:	700
City	:	LOS ANGELES
State	:	CA
Zip	:	90010-2501
Country	:	US
Telephone Number	:	323-761-8800
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/16/2007
Last Update Date	:	06/30/2015

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