Healthcare Provider Details

I. General information

NPI: 1780503540
Provider Name (Legal Business Name): MAUREEN GUBER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18226 VENTURA BLVD STE 202
TARZANA CA
91356-4246
US

IV. Provider business mailing address

18226 VENTURA BLVD STE 202
TARZANA CA
91356-4246
US

V. Phone/Fax

Practice location:
  • Phone: 818-975-8097
  • Fax:
Mailing address:
  • Phone: 424-235-5584
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: