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NPI Code Detail

MEDICARE: SARA BRUMMER LMFT

MEDICARE: SARA BRUMMER 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 Therapist111256CA

General Provider Information

NPI Number : 1649639170
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARA BRUMMER LMFT
Provider Business Mailing Address
First Line : 5675 W OLYMPIC BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90036-4712
Country : US
Telephone Number : 323-965-1365
Fax Number :
Provider Business Practice Location Address
First Line : 5675 W OLYMPIC BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90036-4712
Country : US
Telephone Number : 323-965-1365
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/11/2016
Last Update Date : 04/12/2024

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Directions to “ SARA BRUMMER LMFT” Practice Location

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