MEDICARE: CHRISTOPHER SALIM ABOUNAYAN LMFT #129113

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	129113	CA

General Provider Information

NPI Number	:	1669178562
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER SALIM ABOUNAYAN LMFT #129113

Provider Business Mailing Address
First Line	:	17761 SIDWELL ST
Second Line	:
City	:	GRANADA HILLS
State	:	CA
Zip	:	91344-1029
Country	:	US
Telephone Number	:	818-621-3077
Fax Number	:

Provider Business Practice Location Address
First Line	:	1237 7TH ST
Second Line	:
City	:	SANTA MONICA
State	:	CA
Zip	:	90401-1605
Country	:	US
Telephone Number	:	818-570-0774
Fax Number	:

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

Provider Enumeration Date	:	02/01/2023
Last Update Date	:	02/01/2023

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