MR. LESLIE OWEN KUBERSKI (NPI# 1255500716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255500716 |
| Entity Type | Individual |
| Full Name | MR. LESLIE OWEN KUBERSKI |
| Credential | PSY.D. |
| Practice Address |
19634 Ventura Blvd Suite 325 Tarzana CA 91356-2966 |
| Mailing Address |
1007 W Monte Vista Ave Visalia CA 93277-7428 |
| Practice Telephone | 5597860206 |
| Practice Fax Number | 5597131735 |
| Mailing Telephone | 5597860206 |
| Mailing Fax Number | 5597131735 |
| Enumeration Date | 2008-02-28 |
| Last Update Date | 2009-04-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY6824 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | LICENSE NUMBER | 6824 | 01 |
| Street Address |
19634 VENTURA BLVD SUITE 325 |
| City | TARZANA |
| State | CA |
| Zip Code | 91356-2966 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831127356 | Aj Barnert | Marriage & Family Therapist | 19634 Ventura Blvd, Suite 303, Tarzana, CA 91356-2966 | 2006-06-30 |
| 1164952727 | Elizabeth Bailey | Marriage & Family Therapist | 19634 Ventura Blvd, Tarzana, CA 91356-2966 | 2017-06-15 |
| 1558807792 | Regina Kilberg | Marriage & Family Therapist | 19634 Ventura Blvd, #212, Tarzana, CA 91356-2966 | 2017-01-11 |
| 1881145910 | Wellspring Hospice | Hospice Care, Community Based | 19634 Ventura Blvd, #217, Tarzana, CA 91356-2966 | 2016-10-24 |
| 1962858175 | Kurt Christiansen | Psychologist | 19634 Ventura Blvd, Suite 303, Tarzana, CA 91356-2966 | 2016-05-05 |
| 1922489525 | Julie A Krimstein | Marriage & Family Therapist | 19634 Ventura Blvd, Suite 212, Tarzana, CA 91356-2966 | 2015-06-09 |
| 1962810275 | Michelle Debus | Marriage & Family Therapist | 19634 Ventura Blvd, Tarzana, CA 91356-2966 | 2014-07-30 |
| 1467877175 | Bennett Ira Goldberg | Marriage & Family Therapist | 19634 Ventura Blvd, Suite 212, Tarzana, CA 91356-2966 | 2014-03-04 |
| 1851716773 | Atiya Lynn Malik | Marriage & Family Therapist | 19634 Ventura Blvd, Suite 206, Tarzana, CA 91356-2966 | 2014-02-28 |
| 1568896132 | Liat Alon | Counselor | 19634 Ventura Blvd, Suite 212, Tarzana, CA 91356-2966 | 2013-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679137293 | Sarah Badreau | Behavior Technician | 5554 Reseda Blv., Tarzana, CA 91356 | 2019-04-29 |
| 1831661966 | Daraie Dental Group Inc | Dentist | 5620 Wilbur Avenue Ste 300, Tarzana, CA 91356 | 2018-12-31 |
| 1982182770 | Blanca Garay | Respiratory Therapist, Registered | 18214 Burbank Blvd Apt 120, Tarzana, CA 91356 | 2018-08-02 |
| 1437659000 | Chloe Kang | Speech-Language Pathologist | 19019 Ventura Blvd., Tarzana, CA 91356 | 2018-02-20 |
| 1114430139 | Avb & Lv Corporation | Home Health | 18340 Ventura Blvd Ste 220, Tarzana, CA 91356 | 2017-11-13 |
| 1881110468 | Samina Qadir | Registered Nurse | 18321 Clark St., Tarzana, CA 91356 | 2017-08-16 |
| 1700306776 | Debbie Rehman Lux | Marriage & Family Therapist | 18370 Burbank Blvd., Suite 211, Tarzana, CA 91356 | 2017-06-21 |
| 1467980631 | Valley Nerological Services, LLC | Radiology | 5260 Wilbur Ave Ste 207, Tarzana, CA 91356 | 2017-05-31 |
| 1669906020 | Evolve Growth Initiatives LLC | Clinic/Center | 5435 Aura Avenue, Tarzana, CA 91356 | 2017-04-12 |
| 1780130088 | Evolve Growth Initiatives, LLC | Clinic/Center | 5358 Vanalden Drive, Tarzana, CA 91356 | 2016-08-28 |
| Find all providers in zip 91356 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144647819 | Farzaneh Ehsan | Psychologist | 18740 Ventura Blvd Ste 202, Tarzana, CA 91356-6310 | 2014-03-19 |
| 1376806901 | Helen Marcia Grebow | Psychologist | 19335 Olivos Dr, Tarzana, CA 91356-4440 | 2012-06-19 |
| 1245477611 | Karen A Sabovich | Psychologist | 18757 Burbank Blvd Ste 309, Tarzana, CA 91356-3393 | 2009-01-07 |
| 1548469844 | Shirin Nooravi | Psychologist | 18345 Ventura Blvd Ste 314, Tarzana, CA 91356-4242 | 2007-07-16 |
| 1447465877 | Donna Jean Cooper | Psychologist | 18399 Ventura Blvd., Suite # 248, Tarzana, CA 91356 | 2007-05-11 |
| 1225197098 | Paige Rosebrock | Psychologist | 18757 Burbank Blvd, Ste. 125, Tarzana, CA 91356-3375 | 2006-12-08 |
| 1710062625 | Carole I Hammond-saslow | Psychologist | 19281 Berclair Ln, Tarzana, CA 91356-5009 | 2006-10-26 |
| 1063433639 | Philip A Jones | Psychologist | 18401 Burbank Blvd Ste 229, Tarzana, CA 91356-6612 | 2006-07-21 |
| 1962858175 | Kurt Christiansen | Psychologist | 19634 Ventura Blvd, Suite 303, Tarzana, CA 91356-2966 | 2016-05-05 |
| 1215381918 | Mark John Souris | Psychologist | 18757 Burbank Blvd, Suite 125, Tarzana, CA 91356-3375 | 2016-04-19 |
| Find all providers in TARZANA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.