Irene S. Fruchtbaum, Ph.D., Q.M.E.

LBN: Irene S. Fruchtbaum, Ph.D., Q.M.E.
Irene S. Fruchtbaum, Ph.D., Q.M.E. is an health care organization with primary practice located at 28310 Roadside Dr Ste 202A , Agoura Hills CA 91301-4958. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Group Psychotherapy, which is considered as the primary health care specialty. Irene S. Fruchtbaum, Ph.D., Q.M.E. can be contacted via phone (818) 650-1960, or through Fruchtbaum, Irene via phone (818) 650-1960.

Contact Information

Primary practice address
28310 Roadside Dr Ste 202A Agoura Hills CA 91301-4958
Phone: (818) 650-1960
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Fruchtbaum, Irene PH.D., Q.M.E.
Phone: (818) 650-1960

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Group Psychotherapy 103TP2701X

Profile Details

NPI number 1447010053
LBN Legal business name Irene S. Fruchtbaum, Ph.D., Q.M.E.
DBA Doing business as
Authorized official Fruchtbaum, Irene PH.D., Q.M.E.
Entity Organization
Organization subpart 1 No
Enumeration date Mar 20th, 2024
Last updated Mar 20th, 2024 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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