Provider Demographics
NPI:1013150754
Name:CAZIER, MICHAEL G (MFT-REGISTERED)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:G
Last Name:CAZIER
Suffix:
Gender:M
Credentials:MFT-REGISTERED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8616 LA TIJERA BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90045-3945
Mailing Address - Country:US
Mailing Address - Phone:310-337-1550
Mailing Address - Fax:310-337-2805
Practice Address - Street 1:605 W OLYMPIC BLVD STE 550
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90015-1474
Practice Address - Country:US
Practice Address - Phone:213-553-1850
Practice Address - Fax:213-553-1864
Is Sole Proprietor?:No
Enumeration Date:2009-04-10
Last Update Date:2013-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAIMF59077106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist