FERNANDO MARTIN BURGOS

LOS ANGELES, CA
NPI1134353394
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  46906)
Enumeration Date2009-05-03
Last Update Date2009-05-03
Business Address
Mr. FERNANDO MARTIN BURGOS MFT
11980 SAN VICENTE BLVD STE 700
LOS ANGELES, CA 90049-6605
Phone number: 310-569-7202
Mailing Address
Mr. FERNANDO MARTIN BURGOS MFT
2611 RUHLAND AVE APT 4
REDONDO BEACH, CA 90278-2626
Phone number: 310-569-7202
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