Healthcare Provider Details

I. General information

NPI: 1588513477
Provider Name (Legal Business Name): JUSTIN INBAR
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/24/2026
Last Update Date: 09/05/2026
Certification Date: 09/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

822 HARTZ WAY STE 215
DANVILLE CA
94526-3420
US

IV. Provider business mailing address

6928 RANCHITO AVE
VAN NUYS CA
91405-4161
US

V. Phone/Fax

Practice location:
  • Phone: 424-341-3814
  • Fax:
Mailing address:
  • Phone: 949-514-4097
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: