Most Relevant Information
Provider Data
| NPI Number: | 1003468034 |
| Provider Name: | MAYRA TOBAR |
| Entity Type: | Individual |
| Taxonomy Code: | 106H00000X |
| Specialty: | Marriage & Family Therapist |
| License Number: | LMFT130326 |
Most Important Dates
| Enumeration Date: | 07/10/2019 |
| Last Updated: | 05/22/2022 |
Provider Practice Location
6301 BEACH BLVD STE 245
BUENA PARK
CA
90621
Practice Location Phone/Fax
| Phone: | 7148719264 |
| Fax: | 7148715032 |
Provider Mailing Location
7309 LUXOR ST
DOWNEY
CA
902414333
Provider Mailing Phone/Fax
| Phone: | 5627734794 |
| Fax: |