Provider Demographics
NPI:1144577180
Name:INFINITY HEALTH ASSOCIATES
Entity Type:Organization
Organization Name:INFINITY HEALTH ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARION
Authorized Official - Middle Name:
Authorized Official - Last Name:AROM
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:310-739-1167
Mailing Address - Street 1:9171 WILSHIRE BLVD STE 600
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90210-5517
Mailing Address - Country:US
Mailing Address - Phone:310-739-1167
Mailing Address - Fax:
Practice Address - Street 1:9171 WILSHIRE BLVD STE 600
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90210-5517
Practice Address - Country:US
Practice Address - Phone:310-739-1167
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-09
Last Update Date:2012-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY7162103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty