MEDICARE: SIMA FURMAN LCSW

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	1041C0700X	Clinical Social Worker	LCS 7067	CA

General Provider Information

NPI Number	:	1659416469
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SIMA FURMAN LCSW

Provider Business Mailing Address
First Line	:	514 N PALM DR
Second Line	:
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90210-3413
Country	:	US
Telephone Number	:	310-859-1529
Fax Number	:

Provider Business Practice Location Address
First Line	:	6505 WILSHIRE BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90048-4917
Country	:	US
Telephone Number	:	323-761-8800
Fax Number	:

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

Provider Enumeration Date	:	02/20/2007
Last Update Date	:	07/08/2007

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