MEDICARE: EPIC FAMILY THERAPY, PC

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1528921210
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EPIC FAMILY THERAPY, PC

Provider Business Mailing Address
First Line	:	11835 W OLYMPIC BLVD STE 405
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90064-5001
Country	:	US
Telephone Number	:	310-684-3134
Fax Number	:

Provider Business Practice Location Address
First Line	:	11835 W OLYMPIC BLVD STE 405
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90064-5001
Country	:	US
Telephone Number	:	310-684-3134
Fax Number	:

Authorized Official
Title or Position	:	OWNER, THERAPIST
Name	:	JENNA LASKI
Credential	:	LMFT
Telephone Number	:	310-795-3033

Provider Enumeration Date	:	12/08/2025
Last Update Date	:	12/08/2025

Similar Medicare Providers

1942284989 — JULIA HOBBS SPEECH PATHOLOGY, INC.
Practice Location Address:

11835 W OLYMPIC BLVD , #300
LOS ANGELES, CA
90064-5001

Practice Phone: 310-996-8900
Practice Fax: 310-996-8909

1891729042 — DR. RONALD MARK PODELL M.D,
Practice Location Address:

11835 W OLYMPIC BLVD , SUITE 220 EAST
LOS ANGELES, CA
90064-5001

Practice Phone: 310-312-1013
Practice Fax: 310-312-1014

1447321666 — LORI RUBENSTEIN PHYSICAL THERAPY, INC
Practice Location Address:

11835 W OLYMPIC BLVD , SUITE 135E
LOS ANGELES, CA
90064-5001

Practice Phone: 310-401-6410
Practice Fax:

1427129642 — LORI RUBENSTEIN FAZZIO PT
Practice Location Address:

11835 W OLYMPIC BLVD , SUITE 135E
LOS ANGELES, CA
90064-5001

Practice Phone: 310-401-6410
Practice Fax: 310-312-3637

1609941558 — MR. CHARLES KOGON MFT
Practice Location Address:

11835 W OLYMPIC BLVD , STE 725
LOS ANGELES, CA
90064-5001

Practice Phone: 310-477-8161
Practice Fax:

1275670036 — EXECUTIVE MENTAL HEALTH, INC.
Practice Location Address:

11835 W OLYMPIC BLVD STE 1270E
LOS ANGELES, CA
90064-5001

Practice Phone: 310-273-4843
Practice Fax: 310-273-5056

Directions to “EPIC FAMILY THERAPY, PC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.