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NPI Code Detail

MEDICARE: MARC KURTIS ISAAC JR. MFT

MEDICARE:   MARC KURTIS ISAAC JR. MFT
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 Therapist159585CA

General Provider Information

NPI Number : 1538034020
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARC KURTIS ISAAC JR. MFT
Provider Business Mailing Address
First Line : 3200 MOTOR AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90034-3710
Country : US
Telephone Number : 213-973-8489
Fax Number :
Provider Business Practice Location Address
First Line : 3200 MOTOR AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90034-3710
Country : US
Telephone Number : 213-973-8489
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/06/2025
Last Update Date : 01/07/2026

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