1396729497 NPI number — MS. ANITA MICHELA FRANKEL M.A., M.F.T.

Table of content: MS. ANITA MICHELA FRANKEL M.A., M.F.T. (NPI 1396729497)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1396729497 NPI number — MS. ANITA MICHELA FRANKEL M.A., M.F.T.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
FRANKEL
Provider First Name:
ANITA
Provider Middle Name:
MICHELA
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
M.A., M.F.T.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
FRANKEL
Provider Other First Name:
ANITA
Provider Other Middle Name:
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
M.A., M.F.T.
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1396729497
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1741 SILVER LAKE BLVD
Provider Second Line Business Mailing Address:
SUITE 2A
Provider Business Mailing Address City Name:
LOS ANGELES
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
90026-1256
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
323-661-0297
Provider Business Mailing Address Fax Number:
323-665-1058

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1741 SILVER LAKE BLVD
Provider Second Line Business Practice Location Address:
SUITE 2A
Provider Business Practice Location Address City Name:
LOS ANGELES
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90026-1256
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
323-661-0297
Provider Business Practice Location Address Fax Number:
323-665-1058
Provider Enumeration Date:
12/01/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 106H00000X , with the licence number:  MFC28409 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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