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NPI Code Detail

MEDICARE: ISABELLA SERENA BENDIX LMFT

MEDICARE: ISABELLA SERENA BENDIX 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
1106H00000XMarriage & Family Therapist153368CA

General Provider Information

NPI Number : 1962338251
Entity Type Code : Individual
Provider Name (Legal Business Name) : ISABELLA SERENA BENDIX LMFT
Provider Business Mailing Address
First Line : 5252 BALBOA AVE STE 500
Second Line :
City : SAN DIEGO
State : CA
Zip : 92117-6935
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5252 BALBOA AVE STE 500
Second Line :
City : SAN DIEGO
State : CA
Zip : 92117-6935
Country : US
Telephone Number : 858-707-5724
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2026
Last Update Date : 06/23/2026

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