Israel, Ira
Israel, Ira is an sole proprietor health care provider with primary practice located at 2316 Montana Avenue Apt D, Santa Monica CA 90403. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Israel, Ira can be contacted via phone (310) 430-5150.Contact Information
Primary practice address
2316 Montana Avenue Apt D
Santa Monica CA 90403
Phone: (310) 430-5150
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 31 | California |
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 50646 | California |
Profile Details
| NPI number | 1417333204 |
|---|---|
| LBN Legal business name | Israel, Ira |
| Credentials | LPC, LMFT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 4th, 2015 |
| Last updated | Aug 4th, 2015 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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