AVISSA ILKHAN (NPI# 1144848581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144848581 |
| Entity Type | Individual |
| Full Name | AVISSA ILKHAN |
| Practice Address |
7101 Baird Ave Reseda CA 91335-4150 |
| Mailing Address |
10201 Mason Ave Unit 63 Chatsworth CA 91311-3310 |
| Practice Telephone | 8183425897 |
| Mailing Telephone | 3109948800 |
| Enumeration Date | 2020-07-13 |
| Last Update Date | 2020-07-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
R1395550620 | CA | Behavioral Health & Social Service Providers |
| Street Address |
7101 BAIRD AVE |
| City | RESEDA |
| State | CA |
| Zip Code | 91335-4150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881710887 | Tarzana Treatment Centers, Inc. | Clinic/Center | 7101 Baird Ave, Reseda, CA 91335-4150 | 2007-03-21 |
| 1588271035 | Amanda Louise Fee | Counselor | 7101 Baird Ave, Reseda, CA 91335-4150 | 2020-09-29 |
| 1043834708 | Fernando D Estrada Ortiz | Case Manager/Care Coordinator | 7101 Baird Ave, Reseda, CA 91335-4150 | 2020-05-28 |
| 1760005532 | Neil Prehmus | Counselor | 7101 Baird Ave, Reseda, CA 91335-4150 | 2020-05-27 |
| 1285269761 | Shawn Deffenbaugh | Counselor | 7101 Baird Ave, Reseda, CA 91335-4150 | 2020-03-05 |
| 1073175568 | Vanessa Silva | Counselor | 7101 Baird Ave, Reseda, CA 91335-4150 | 2019-07-03 |
| 1255899944 | Ruben Villegas | Counselor | 7101 Baird Ave, Reseda, CA 91335-4150 | 2019-03-12 |
| 1922571728 | Dmitry Savransky | Counselor | 7101 Baird Ave, Reseda, CA 91335-4150 | 2019-01-04 |
| 1447729744 | Jorge Silva | Case Manager/Care Coordinator | 7101 Baird Ave, Reseda, CA 91335-4150 | 2018-11-15 |
| 1679057384 | Cynthia Yvette Gutierrez | Social Worker | 7101 Baird Ave, Reseda, CA 91335-4150 | 2018-09-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356968754 | Thomas Allen Hambright | Massage Therapist | 7510 Corbin Avenue, Unit #8, Reseda, CA 91335 | 2020-07-01 |
| 1558912014 | Harriet Ann Bickel | Technician | 18006 Hatton St., Reseda, CA 91335 | 2019-09-26 |
| 1528627106 | Topanga Hospice Care, Inc. | Hospice Care, Community Based | 5311 Topanga Canyon Blvd., Suite 302, Reseda, CA 91335 | 2019-06-07 |
| 1881174043 | Aludra Inc. | Hospice Care, Community Based | 18325 Sherman Way, Suite A, Reseda, CA 91335 | 2018-08-17 |
| 1417437658 | Buonora Development, Inc | Physical Therapist | 19325 Sherman Way, Reseda, CA 91335 | 2018-08-16 |
| 1770073793 | Deanna Marie Niekamp | Counselor | 7232 Canby Ave. #4,5,6, Reseda, CA 91335 | 2018-05-15 |
| 1013423383 | Bassa Logistic Inc | Non-emergency Medical Transport (VAN) | 19537 Valerio Street, Reseda, CA 91335 | 2017-12-21 |
| 1093237919 | Belinda Reser | Counselor | 7101 Baird St, Reseda, CA 91335 | 2017-07-12 |
| 1720500028 | Hermine Karapetyan | Hearing Instrument Specialist | 19367 Victory Blvd., Suite 14, Reseda, CA 91335 | 2017-07-09 |
| 1902352461 | Baird Group Home | Residential Treatment Facility, Emotionally Disturbed Children | 7701 Baird Avenue, Reseda, CA 91335 | 2016-08-25 |
| Find all providers in zip 91335 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700414414 | Itzel Cahuantzi | Counselor | 7805 Reseda Blvd Apt 314, Reseda, CA 91335-1914 | 2020-03-29 |
| 1235613852 | Eulalia Miranda Reyes | Counselor | 7232 Canby Ave # 456, Reseda, CA 91335-3006 | 2018-09-19 |
| 1770073793 | Deanna Marie Niekamp | Counselor | 7232 Canby Ave. #4,5,6, Reseda, CA 91335 | 2018-05-15 |
| 1093237919 | Belinda Reser | Counselor | 7101 Baird St, Reseda, CA 91335 | 2017-07-12 |
| 1790103372 | Matthew Longoria | Counselor | 6956 Bertrand Ave, Reseda, CA 91335-4708 | 2014-04-01 |
| 1912243007 | Roberto Sosa Sandoval | Counselor | 18553 Arminta St, Reseda, CA 91335-1834 | 2012-12-18 |
| 1699908053 | Ramona Russum | Counselor | 7232 Canby Ave Ste 456, Reseda, CA 91335-3006 | 2009-09-01 |
| 1720238678 | Rebecca Greenough | Counselor | 19231 Victory Bld, Suite #554, Reseda, CA 91335 | 2008-09-29 |
| 1780873422 | Christina Ruth Fernandez | Counselor | 7232 Canby Ave Ste 4, Reseda, CA 91335-8143 | 2007-10-18 |
| 1063620532 | Mohammad Farrokh Emad | Counselor | 7232 Camby St, Reseda, CA 91335 | 2007-05-18 |
| Find all providers in RESEDA | ||||
Please comment or provide details below to improve the information on AVISSA ILKHAN.
| 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.