| Doctor Name: | MR. MARVIN N. KAPHAN |
| NPI Number: | 1144229329 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MSW |
| License Number: | LCS181 |
| Business Practice Address: | 12520 Magnolia Blvd Suite 210 Valley Village, CA - 916072336 |
| Business Phone Number: | 8187669540 |
| Business Fax Number: | 3104540700 |
| Mailing Address: | 12520 Magnolia Blvd, Suite 210 VALLEY VILLAGE |
| State: | CA |
| Postal Code: | 916072336 |
| Phone Number: | 8187669540 |
| Fax Number: | 3104540700 |
| NPI Enumeration Date: | 07/19/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | LCS181 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |