Mark William Stein | Los Angeles, CA • PECOS Search

Mark William Stein

Marriage & Family Therapist

Behavioral Health & Social Service Providers

1626 Westwood Blvd Ste 103, Los Angeles, CA 90024-5621

PECOS Enrollment

Based on the most recent information from CMS, provider Mark William Stein does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1285117176
Provider Type
Individual
Full Name
Stein, Mark William
Credential
MA, AMFT

Gender
Male
Sole Proprietor
Yes
Enumeration Date
9/7/2018
Last Updated
9/7/2018

Contact Information

Practice Location

1626 Westwood Blvd Ste 103, Los Angeles, CA 90024-5621

Unlisted Fax

Mailing Location

4121 Coolidge Ave, Los Angeles, CA 90066-5413

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 106H00000X Primary	Description Marriage & Family Therapist Behavioral Health & Social Service Providers	License 101912 California