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NPI Code Detail

MEDICARE: MR. SCOTT ENOCH KAZARIAN LMFT

MEDICARE: MR. SCOTT ENOCH KAZARIAN 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
1106H00000XMarriage & Family TherapistMFC41421CA

General Provider Information

NPI Number : 1376674069
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. SCOTT ENOCH KAZARIAN LMFT
Provider Business Mailing Address
First Line : 324 S DIAMOND BAR BLVD # 192
Second Line :
City : DIAMOND BAR
State : CA
Zip : 91765-1607
Country : US
Telephone Number : 626-695-8771
Fax Number :
Provider Business Practice Location Address
First Line : 324 S DIAMOND BAR BLVD # 192
Second Line :
City : DIAMOND BAR
State : CA
Zip : 91765-1607
Country : US
Telephone Number : 626-695-8771
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/07/2007
Last Update Date : 07/08/2007

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