Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

West La Therapist Corp

Organization Marriage & Family Therapist · NPI 1417491952

West La Therapist Corp is a Marriage & Family Therapist in Los Angeles, California. Licensed in California. Registered with an NPI since 2016.

Licensed in
CA
In the registry since
2016
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11040 Santa Monica Blvd Ste 209
Los Angeles, CA 90025-7522
Phone: (310) 582-1513
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 43614 (CA)

Record details

NPI number1417491952
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jacqueline Bloom-Genevitz — Ceo/President · (310) 582-1513
NPI enumeratedDecember 16, 2016
Last updated in NPPESDecember 16, 2016
Mailing address11040 Santa Monica Blvd Ste 209, Los Angeles, CA 90025-7522

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