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NPI Code Detail

MEDICARE: HETHER L LOMBARDO-BENJAMIN LMFT

MEDICARE: HETHER L LOMBARDO-BENJAMIN 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 TherapistMFC 41782CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MFC 41782OTHERCABOARD OF BEHAVIORAL SCIEN

General Provider Information

NPI Number : 1538346879
Entity Type Code : Individual
Provider Name (Legal Business Name) : HETHER L LOMBARDO-BENJAMIN LMFT
Provider Business Mailing Address
First Line : 440 EXCHANGE STE 250
Second Line :
City : IRVINE
State : CA
Zip : 92602-1376
Country : US
Telephone Number : 949-250-0488
Fax Number : 714-540-1908
Provider Business Practice Location Address
First Line : 16580 HARBOR BLVD STE M
Second Line :
City : FOUNTAIN VALLEY
State : CA
Zip : 92708-1385
Country : US
Telephone Number : 714-975-5201
Fax Number : 714-659-6379
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/29/2008
Last Update Date : 12/04/2023

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