Basic Information
| Provider Information | |||||||||
| NPI: | 1174648760 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SABATH | ||||||||
| FirstName: | SCOTT | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | MR. | ||||||||
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| Credential: | LMFT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1426 AVIATION BLVD | ||||||||
| Address2: | SUITE 103 | ||||||||
| City: | REDONDO BEACH | ||||||||
| State: | CA | ||||||||
| PostalCode: | 902784002 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3102703822 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2523 W 7TH ST | ||||||||
| Address2: | |||||||||
| City: | LOS ANGELES | ||||||||
| State: | CA | ||||||||
| PostalCode: | 900573801 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2134801557 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 03/20/2007 | ||||||||
| LastUpdateDate: | 01/13/2014 | ||||||||
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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 | MFC 46024 | CA | Y | Behavioral Health & Social Service Providers | Marriage & Family Therapist |
No ID Information.