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NPI Code Detail

MEDICARE: ANNA KOSOFF

MEDICARE:   ANNA  KOSOFF
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 TherapistMFT52802CA

General Provider Information

NPI Number : 1770816381
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNA KOSOFF
Provider Business Mailing Address
First Line : 12304 SANTA MONICA BLVD STE 327
Second Line :
City : LOS ANGELES
State : CA
Zip : 90025-7207
Country : US
Telephone Number : 323-250-2703
Fax Number :
Provider Business Practice Location Address
First Line : 12304 SANTA MONICA BLVD STE 327
Second Line :
City : LOS ANGELES
State : CA
Zip : 90025-7207
Country : US
Telephone Number : 323-250-2702
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/14/2009
Last Update Date : 12/17/2024

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Directions to “ ANNA KOSOFF ” Practice Location

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