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

Jeffrey Bourg, AMFT

Individual provider Marriage & Family Therapist · NPI 1235073552

Jeffrey Bourg, AMFT is a Marriage & Family Therapist in Beverly Hills, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2026

Practice location Address checks out

407 Shirley Pl
Beverly Hills, CA 90212-4177
Phone: (310) 490-7389
Show map & directions

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

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 149966 (CA)

Record details

NPI number1235073552
Entity typeIndividual (Type 1)
GenderMale
Credentials AMFT
Sole proprietorYes
NPI enumeratedApril 16, 2026
Last updated in NPPESApril 16, 2026
Certification dateApril 16, 2026
Mailing address407 Shirley Pl, Beverly Hills, CA 90212-4177

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