Healthcare Provider Details

I. General information

NPI: 1679409874
Provider Name (Legal Business Name): PAIGE REINSTEIN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2026
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5200 WILSHIRE BLVD APT 651
LOS ANGELES CA
90036-5061
US

IV. Provider business mailing address

5200 WILSHIRE BLVD APT 651
LOS ANGELES CA
90036-5061
US

V. Phone/Fax

Practice location:
  • Phone: 805-253-2750
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberAPPC19791
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: