MEDICARE: SHEILA BRITTAIN

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
1	106H00000X	Marriage & Family Therapist	LMFT112877	CA

General Provider Information

NPI Number	:	1073134250
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHEILA BRITTAIN

Provider Business Mailing Address
First Line	:	6709 LA TIJERA BLVD # 457
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90045-2017
Country	:	US
Telephone Number	:	323-333-5332
Fax Number	:

Provider Business Practice Location Address
First Line	:	1436 1/2 S SIERRA BONITA AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90019-3965
Country	:	US
Telephone Number	:	323-333-5332
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/29/2020
Last Update Date	:	04/29/2020

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