Provider Demographics
NPI:1376737213
Name:REMMELE, PAUL MICHAEL (LMFT)
Entity Type:Individual
Prefix:MR
First Name:PAUL
Middle Name:MICHAEL
Last Name:REMMELE
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4031 MCLAUGHLIN AVE
Mailing Address - Street 2:APT #9
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90066-5468
Mailing Address - Country:US
Mailing Address - Phone:310-570-3490
Mailing Address - Fax:310-306-5717
Practice Address - Street 1:10642 SANTA MONICA BLVD
Practice Address - Street 2:SUITE #201
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90025-4525
Practice Address - Country:US
Practice Address - Phone:310-475-9620
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-04
Last Update Date:2015-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA90574106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist