Leonia U Kurgan | Santa Monica, CA • PECOS Search

Leonia U Kurgan

Marriage & Family Therapist

Behavioral Health & Social Service Providers

3201 Wilshire Blvd, #201,, Santa Monica, CA 90403-2344

(310) 453-0448 (310) 478-9417

PECOS Enrollment

Based on the most recent information from CMS, provider Leonia U Kurgan 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
1427276039
Provider Type
Individual
Full Name
Kurgan, Leonia U
Title
Dr.
Credential
LEONIA KURGAN MFT

Gender
Female
Sole Proprietor
Yes
Enumeration Date
4/22/2007
Last Updated
7/8/2007

Contact Information

Practice Location

3201 Wilshire Blvd, #201,, Santa Monica, CA 90403-2344

Unlisted Fax

Mailing Location

1312 S Saltair Ave, #102,, Los Angeles, CA 90025-1325

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 106H00000X Primary	Description Marriage & Family Therapist Behavioral Health & Social Service Providers	License MH16956 California