Provider Demographics
NPI:1376048538
Name:MALER, JEREMY (MA, AMFT)
Entity Type:Individual
Prefix:
First Name:JEREMY
Middle Name:
Last Name:MALER
Suffix:
Gender:M
Credentials:MA, AMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1021
Mailing Address - Street 2:
Mailing Address - City:CULVER CITY
Mailing Address - State:CA
Mailing Address - Zip Code:90232-1021
Mailing Address - Country:US
Mailing Address - Phone:424-244-0643
Mailing Address - Fax:
Practice Address - Street 1:13101 W WASHINGTON BLVD STE 216
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90066-5100
Practice Address - Country:US
Practice Address - Phone:424-244-0643
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-28
Last Update Date:2018-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator