MEDICARE: MR. GARY JAY REMPE LMFT, ATR

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	85896	CA

General Provider Information

NPI Number	:	1649507807
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. GARY JAY REMPE LMFT, ATR

Provider Business Mailing Address
First Line	:	2924 MANNING AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90064-4327
Country	:	US
Telephone Number	:	310-904-9755
Fax Number	:

Provider Business Practice Location Address
First Line	:	5437 LAUREL CANYON BLVD
Second Line	:
City	:	VALLEY VILLAGE
State	:	CA
Zip	:	91607-2181
Country	:	US
Telephone Number	:	310-904-9755
Fax Number	:	805-364-5925

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

Provider Enumeration Date	:	11/09/2009
Last Update Date	:	03/23/2026

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