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NPI Code Detail

MEDICARE: GHAZAL LOVELY ABBAS LMFT

MEDICARE: GHAZAL LOVELY ABBAS 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 Therapist127592CA

General Provider Information

NPI Number : 1497266274
Entity Type Code : Individual
Provider Name (Legal Business Name) : GHAZAL LOVELY ABBAS LMFT
Provider Business Mailing Address
First Line : 3835 N FREEWAY BLVD STE 100
Second Line :
City : SACRAMENTO
State : CA
Zip : 95834-1954
Country : US
Telephone Number : 916-576-7900
Fax Number : 650-393-8922
Provider Business Practice Location Address
First Line : 1019 GAYLEY AVE FL 2
Second Line :
City : LOS ANGELES
State : CA
Zip : 90024-3437
Country : US
Telephone Number : 424-273-8900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/19/2017
Last Update Date : 10/06/2023

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