Healthcare Provider Details

I. General information

NPI: 1649507807
Provider Name (Legal Business Name): GARY JAY REMPE LMFT, ATR
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/09/2009
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5437 LAUREL CANYON BLVD
VALLEY VILLAGE CA
91607-2181
US

IV. Provider business mailing address

2924 MANNING AVE
LOS ANGELES CA
90064-4327
US

V. Phone/Fax

Practice location:
  • Phone: 310-904-9755
  • Fax: 805-364-5925
Mailing address:
  • Phone: 310-904-9755
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number85896
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: