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NPI Code Detail

MEDICARE: BENJAMIN MOSHE LATHAM-BRYMAN

MEDICARE: BENJAMIN MOSHE LATHAM-BRYMAN
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
1106H00000XMarriage & Family TherapistLMFT116483CA

General Provider Information

NPI Number : 1336669522
Entity Type Code : Individual
Provider Name (Legal Business Name) : BENJAMIN MOSHE LATHAM-BRYMAN
Provider Business Mailing Address
First Line : 2834 COLORADO AVE STE 200
Second Line :
City : SANTA MONICA
State : CA
Zip : 90404-3644
Country : US
Telephone Number : 818-256-3800
Fax Number :
Provider Business Practice Location Address
First Line : 2834 COLORADO AVE STE 200
Second Line :
City : SANTA MONICA
State : CA
Zip : 90404-3644
Country : US
Telephone Number : 818-256-3800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2017
Last Update Date : 02/09/2026

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Directions to “ BENJAMIN MOSHE LATHAM-BRYMAN ” Practice Location

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