MEDICARE: DANIELLE KAYNE-O'GILVIE LMFT

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	LMFT53740	CA

General Provider Information

NPI Number	:	1083939714
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIELLE KAYNE-O'GILVIE LMFT

Provider Business Mailing Address
First Line	:	16930 EASTWOOD AVE
Second Line	:
City	:	TORRANCE
State	:	CA
Zip	:	90504-1040
Country	:	US
Telephone Number	:	818-298-7351
Fax Number	:

Provider Business Practice Location Address
First Line	:	10780 SANTA MONICA BLVD STE 105
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90025-7613
Country	:	US
Telephone Number	:	818-298-7351
Fax Number	:

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

Provider Enumeration Date	:	04/06/2010
Last Update Date	:	06/28/2023

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