| Jori Adler Marriage & Family Therapy Prof. Corp. | |
|
1460 7th St Ste 300 Santa Monica CA 90401-2632 | |
| (310) 569-3404 | |
| Not Available |
| Full Name | Jori Adler Marriage & Family Therapy Prof. Corp. |
|---|---|
| Speciality | Psychologist |
| Location | 1460 7th St Ste 300, Santa Monica, California |
| Authorized Official Name and Position | Jori Adler (PRESIDENT) |
| Authorized Official Contact | 3105693404 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jori Adler Marriage & Family Therapy Prof. Corp. 1319 Harvard St Apt D Santa Monica CA 90404-2436 Ph: (310) 569-3404 | Jori Adler Marriage & Family Therapy Prof. Corp. 1460 7th St Ste 300 Santa Monica CA 90401-2632 Ph: (310) 569-3404 |
| NPI Number | 1528574019 |
|---|---|
| Provider Enumeration Date | 12/19/2017 |
| Last Update Date | 02/24/2025 |
| Certification Date | 02/24/2025 |
| Medicare PECOS PAC ID | 7214459825 |
|---|---|
| Medicare Enrollment ID | O20250324000932 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528574019 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TP2701X | Psychologist - Group Psychotherapy | 84051 (California) | Primary |
| Provider Name | Jori Adler |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1750789509 PECOS PAC ID: 8123540739 Enrollment ID: I20250324001223 |
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