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NPI Code Detail

MEDICARE: JUSTIN BAIN LMFT

MEDICARE: JUSTIN BAIN 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 Therapist163180CA

General Provider Information

NPI Number : 1528893864
Entity Type Code : Individual
Provider Name (Legal Business Name) : JUSTIN BAIN LMFT
Provider Business Mailing Address
First Line : 10682 RITTER ST
Second Line :
City : CYPRESS
State : CA
Zip : 90630-4946
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4132 KATELLA AVE STE 104
Second Line :
City : LOS ALAMITOS
State : CA
Zip : 90720-3493
Country : US
Telephone Number : 562-343-6937
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/05/2024
Last Update Date : 04/30/2026

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Directions to “ JUSTIN BAIN LMFT” Practice Location

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