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NPI Code Detail

MEDICARE: LYRA SPECIALTY SERVICES OF CA, P.C.

MEDICARE: LYRA SPECIALTY SERVICES OF CA, P.C.
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1730023144
Entity Type Code : Organization
Provider Name (Legal Business Name) : LYRA SPECIALTY SERVICES OF CA, P.C.
Provider Business Mailing Address
First Line : 270 EAST LN
Second Line :
City : BURLINGAME
State : CA
Zip : 94010-2802
Country : US
Telephone Number : 650-475-4703
Fax Number :
Provider Business Practice Location Address
First Line : 270 EAST LN
Second Line :
City : BURLINGAME
State : CA
Zip : 94010-2802
Country : US
Telephone Number : 650-475-4703
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : ROBERT KOCHER
Credential : MD
Telephone Number : 650-475-3703
Provider Enumeration Date : 04/16/2026
Last Update Date : 04/16/2026

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