| Timothy Howard Sabourin, | |
| 
					23412 Covello St, West Hills, CA 91304-5333  | |
| (818) 887-9030 | |
| Not Available | 
| Full Name | Timothy Howard Sabourin | 
|---|---|
| Gender | Male | 
| Speciality | Marriage & Family Therapist | 
| Location | 23412 Covello St, West Hills, California | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1104087022 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | MFC51674 (California) | Primary | 
| Entity Name | Southern California Permanente Medical Group | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Timothy Howard Sabourin, 23412 Covello St, West Hills, CA 91304-5333 Ph: (818) 887-9030  | Timothy Howard Sabourin, 23412 Covello St, West Hills, CA 91304-5333 Ph: (818) 887-9030  | 
Mahsa Hamedani-chadorchi, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 8352 Sedan Ave, West Hills, CA 91304 Phone: 818-535-0426  | |
Larisa Krichevsky, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 7800 Woodhall Ave, West Hills, CA 91304 Phone: 323-578-9190  | |
Ms. Monica D. Lang, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 23055 Sherman Way # 4264, West Hills, CA 91307 Phone: 818-613-7229 Fax: 818-884-0756  | |
Ms. Hanon Awad Rinke, M.A.,MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 7349 Ponce Ave, West Hills, CA 91307 Phone: 818-458-9965  | |
Emily Anne Mariano,  Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 22115 Roscoe Blvd, West Hills, CA 91304 Phone: 818-884-8100 Fax: 818-884-7808  | |
Mr. Alfred Renard Carter, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 23468 Schoolcraft Street, West Hills, CA 91307 Phone: 310-908-4598  |