MEDICARE: JAMES GREGORY BINNS LMFT

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	MFC51819	CA

General Provider Information

NPI Number	:	1235254905
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES GREGORY BINNS LMFT

Provider Business Mailing Address
First Line	:	5715 S BROADWAY
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90037-4131
Country	:	US
Telephone Number	:	323-948-0444
Fax Number	:

Provider Business Practice Location Address
First Line	:	3210 DE WITT DR
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90068-1422
Country	:	US
Telephone Number	:	323-948-0444
Fax Number	:

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

Provider Enumeration Date	:	03/20/2007
Last Update Date	:	09/05/2015

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