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NPI Code Detail

MEDICARE: LIRON GABAY LMFT

MEDICARE:   LIRON  GABAY  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 Therapist99154CA

General Provider Information

NPI Number : 1982137386
Entity Type Code : Individual
Provider Name (Legal Business Name) : LIRON GABAY LMFT
Provider Business Mailing Address
First Line : PO BOX 572136
Second Line :
City : TARZANA
State : CA
Zip : 91357-2136
Country : US
Telephone Number : 818-208-0518
Fax Number :
Provider Business Practice Location Address
First Line : 15233 VENTURA BLVD STE 1208
Second Line :
City : SHERMAN OAKS
State : CA
Zip : 91403-2271
Country : US
Telephone Number : 818-208-0518
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2017
Last Update Date : 04/04/2017

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Directions to “ LIRON GABAY LMFT” Practice Location

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