Mahtab Maya Rouhi, | |
145 Hodencamp Rd Ste 100, Thousand Oaks, CA 91360-5897 | |
(855) 701-7955 | |
Not Available |
Full Name | Mahtab Maya Rouhi |
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Gender | Female |
Speciality | Marriage & Family Therapist |
Location | 145 Hodencamp Rd Ste 100, Thousand Oaks, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1891074977 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
106H00000X | Marriage & Family Therapist | 88824 (California) | Primary |
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
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Mahtab Maya Rouhi, 12821 Victory Blvd, North Hollywood, CA 91606-3012 Ph: () - | Mahtab Maya Rouhi, 145 Hodencamp Rd Ste 100, Thousand Oaks, CA 91360-5897 Ph: (855) 701-7955 |
David Scrivner, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 100 E Thousand Oaks Blvd, 236, Thousand Oaks, CA 91360 Phone: 805-371-4877 Fax: 805-495-3439 | |
Alexandria Asia Schuller, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1247 La Peresa Dr, Thousand Oaks, CA 91362 Phone: 805-870-5145 | |
Mrs. Susan Gay Lamb, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 501 Marin St Ste 202, Thousand Oaks, CA 91360 Phone: 805-494-1414 | |
Savita Veronica Carothers, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 125 W Thousand Oaks Blvd Ste 600, Thousand Oaks, CA 91360 Phone: 805-418-9196 Fax: 805-777-3574 | |
Mr. Christopher Malden, AMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 280 E Thousand Oaks Blvd Ste D, Thousand Oaks, CA 91360 Phone: 818-835-7055 | |
Minoo Shilati, PSY.D. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 123 Hodencamp Rd, Suite 205, Thousand Oaks, CA 91360 Phone: 805-777-7595 Fax: 805-777-9249 | |
Ms. Andrea Meredith Lazarus, MA, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 125 W Thousand Oaks Blvd Ste 600, Thousand Oaks, CA 91360 Phone: 805-777-3563 |