MEDICARE: DR. BIANCA RANNEY ED.D., 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
1	106H00000X	Marriage & Family Therapist	98453	CA

General Provider Information

NPI Number	:	1588195143
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BIANCA RANNEY ED.D., LMFT

Provider Business Mailing Address
First Line	:	5800 S EASTERN AVE STE 551
Second Line	:
City	:	COMMERCE
State	:	CA
Zip	:	90040-4016
Country	:	US
Telephone Number	:	714-623-9171
Fax Number	:	714-908-8383

Provider Business Practice Location Address
First Line	:	5800 S EASTERN AVE STE 551
Second Line	:
City	:	COMMERCE
State	:	CA
Zip	:	90040-4016
Country	:	US
Telephone Number	:	714-623-9171
Fax Number	:	714-908-8383

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/24/2017
Last Update Date	:	03/03/2019

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