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

Brace Bacon

Individual provider Marriage & Family Therapist · NPI 1801505367

Brace Bacon is a Marriage & Family Therapist in Los Angeles, California. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

11710 San Vicente Blvd
Los Angeles, CA 90049-5006
Phone: (323) 405-7255
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X

Record details

NPI number1801505367
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 23, 2022
Last updated in NPPESNovember 23, 2022
Certification dateNovember 22, 2022

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