Individual ProviderBeth BardoviMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address1137 2nd St, Suite 213, Santa Monica, CA 90403-5011(310) 393-4866PECOS EnrollmentBased on the most recent information from CMS, provider Beth Bardovi does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1730562166Provider TypeIndividualFull NameBardovi, BethCredentialMFTGenderFemaleSole ProprietorYesEnumeration Date7/2/2015Last Updated7/2/2015Contact InformationPractice LocationPractice Address1137 2nd St, Suite 213, Santa Monica, CA 90403-5011Phone(310) 393-4866FaxUnlisted FaxMailing LocationMailing Address1137 2nd St, Suite 213, Santa Monica, CA 90403-5011Phone(310) 393-4866FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicense20276California