MEDICARE: MR. JONATHAN HUGH REITH-THOMPSON MA

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	MFT32647	CA

General Provider Information

NPI Number	:	1477573194
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JONATHAN HUGH REITH-THOMPSON MA

Provider Business Mailing Address
First Line	:	6363 WILSHIRE BLVD
Second Line	:	SUITE 607
City	:	LOS ANGELES
State	:	CA
Zip	:	90048-5701
Country	:	US
Telephone Number	:	323-650-7313
Fax Number	:

Provider Business Practice Location Address
First Line	:	6363 WILSHIRE BLVD
Second Line	:	SUITE 607
City	:	LOS ANGELES
State	:	CA
Zip	:	90048-5701
Country	:	US
Telephone Number	:	323-650-7313
Fax Number	:

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

Provider Enumeration Date	:	07/19/2006
Last Update Date	:	01/22/2017

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