Provider Demographics
NPI:1801132527
Name:BENPERLAS, JOSEPH (LMFT)
Entity type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:
Last Name:BENPERLAS
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:MR
Other - First Name:YOSSI
Other - Middle Name:
Other - Last Name:BENPERLAS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMFT
Mailing Address - Street 1:8838 W PICO BLVD
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90035-3302
Mailing Address - Country:US
Mailing Address - Phone:310-247-0534
Mailing Address - Fax:310-550-8381
Practice Address - Street 1:8838 W PICO BLVD
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90035-3302
Practice Address - Country:US
Practice Address - Phone:310-247-0534
Practice Address - Fax:310-550-8381
Is Sole Proprietor?:No
Enumeration Date:2012-12-27
Last Update Date:2015-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA51270106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist