Provider Demographics
NPI:1043412323
Name:PACIFIC ASIAN COUNSELING SERVICES
Entity Type:Organization
Organization Name:PACIFIC ASIAN COUNSELING SERVICES
Other - Org Name:PACIFIC ASIAN COUNSELING SERVICES - SFV
Other - Org Type:Other Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARIKO
Authorized Official - Middle Name:
Authorized Official - Last Name:KAHN
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:310-337-1550
Mailing Address - Street 1:8616 LA TIJERA BLVD
Mailing Address - Street 2:#200
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90045-3944
Mailing Address - Country:US
Mailing Address - Phone:310-337-1550
Mailing Address - Fax:310-337-2805
Practice Address - Street 1:6931 VAN NUYS BLVD STE 200
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91405-3996
Practice Address - Country:US
Practice Address - Phone:818-989-9214
Practice Address - Fax:818-989-9217
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-31
Last Update Date:2019-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA7378AOtherMEDICAL REPORTING UNIT NU