MEDICARE: MIA R. RAYMOND 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	MFC52262	CA

General Provider Information

NPI Number	:	1255674289
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MIA R. RAYMOND LMFT

Provider Business Mailing Address
First Line	:	2001 S BARRINGTON AVE
Second Line	:	SUITE 203
City	:	LOS ANGELES
State	:	CA
Zip	:	90025-5363
Country	:	US
Telephone Number	:	323-391-4772
Fax Number	:

Provider Business Practice Location Address
First Line	:	11340 W OLYMPIC BLVD STE 330
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90064-1613
Country	:	US
Telephone Number	:	323-391-4772
Fax Number	:

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

Provider Enumeration Date	:	03/28/2013
Last Update Date	:	07/18/2016

Similar Medicare Providers

1518143908 — MS. LURIKO PATRICIA OZEKI L.AC.
Practice Location Address:

11340 W. OLYMPIC BLVD , STE 356
LOS ANGELES, CA
90064-1613

Practice Phone: 310-770-9560
Practice Fax:

1184862351 — TAKAHASHI CHIROPRACTIC CORPORATION
Practice Location Address:

11340 W. OLYMPIC BLVD. , SUITE 340
LOS ANGELES, CA
90064-1613

Practice Phone: 310-445-1050
Practice Fax: 310-445-1060

1528366143 — DR. NICOLE SAKAI D.D.S., M.S.
Practice Location Address:

11340 W OLYMPIC BLVD STE 337
LOS ANGELES, CA
90064-1613

Practice Phone: 310-479-8900
Practice Fax:

1326308198 — TAKAHASHI CHIROPRACTIC CO.
Practice Location Address:

11340 W OLYMPIC BLVD STE 340
LOS ANGELES, CA
90064-1613

Practice Phone: 310-445-1050
Practice Fax:

1831506633 — MR. ALEXANDER SHIBUYA FARBSTEIN LCSW
Practice Location Address:

11340 W OLYMPIC BLVD STE 335
LOS ANGELES, CA
90064-1613

Practice Phone: 424-272-8690
Practice Fax:

1326408048 — ALEXIA MADLEEN HUBERTE KOVACS LMFT
Practice Location Address:

11340 W OLYMPIC BLVD STE 352
LOS ANGELES, CA
90064-1613

Practice Phone: 310-562-1640
Practice Fax:

Directions to “ MIA R. RAYMOND LMFT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.