Basic Information
| Provider Information | |||||||||
| NPI: | 1013150754 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | CAZIER | ||||||||
| FirstName: | MICHAEL | ||||||||
| MiddleName: | G. | ||||||||
| NamePrefix: | MR. | ||||||||
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| Credential: | MFT-REGISTERED | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8616 LA TIJERA BLVD STE 200 | ||||||||
| Address2: | |||||||||
| City: | LOS ANGELES | ||||||||
| State: | CA | ||||||||
| PostalCode: | 900453945 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3103371550 | ||||||||
| FaxNumber: | 3103372805 | ||||||||
| Practice Location | |||||||||
| Address1: | 605 W OLYMPIC BLVD STE 550 | ||||||||
| Address2: | |||||||||
| City: | LOS ANGELES | ||||||||
| State: | CA | ||||||||
| PostalCode: | 900151474 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2135531850 | ||||||||
| FaxNumber: | 2135531864 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/10/2009 | ||||||||
| LastUpdateDate: | 05/13/2013 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 106H00000X | IMF59077 | CA | Y | Behavioral Health & Social Service Providers | Marriage & Family Therapist |
No ID Information.