Provider Demographics
NPI:1932301777
Name:HARVEY F. BUZIN, L.C.S.W., A PROFESSIONAL CORPORATION
Entity Type:Organization
Organization Name:HARVEY F. BUZIN, L.C.S.W., A PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:HARVEY
Authorized Official - Middle Name:F
Authorized Official - Last Name:BUZIN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:626-821-9000
Mailing Address - Street 1:550 W DUARTE RD
Mailing Address - Street 2:SUITE 5
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91007-7331
Mailing Address - Country:US
Mailing Address - Phone:626-821-9000
Mailing Address - Fax:626-445-1875
Practice Address - Street 1:550 W DUARTE RD
Practice Address - Street 2:SUITE 5
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91007-7331
Practice Address - Country:US
Practice Address - Phone:626-821-9000
Practice Address - Fax:626-445-1875
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS 18641041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty