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NPI Code Detail

MEDICARE: CAMILLE M BIEN AMFT

MEDICARE: CAMILLE M BIEN AMFT
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 TherapistAMFT120609CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1JK120938OTHERCACAMILLE BIEN

General Provider Information

NPI Number : 1649873290
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAMILLE M BIEN AMFT
Provider Business Mailing Address
First Line : 5033 5TH AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90043-1937
Country : US
Telephone Number : 310-866-1119
Fax Number :
Provider Business Practice Location Address
First Line : 11150 W OLYMPIC BLVD STE 760
Second Line :
City : LOS ANGELES
State : CA
Zip : 90064-1855
Country : US
Telephone Number : 424-835-6509
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/17/2020
Last Update Date : 11/17/2020

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Directions to “ CAMILLE M BIEN AMFT” Practice Location

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