EDWARD SHKOLNIKOV


Address: 4972 W Pico Blvd, Suuite# 208, Los Angeles, CA 90019-4200
Phone: 3108835728

EDWARD SHKOLNIKOV (NPI# 1174796437) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174796437
Entity Type Individual
Full Name EDWARD SHKOLNIKOV
Practice Address 4972 W Pico Blvd
Suuite# 208
Los Angeles
CA 90019-4200
Practice Telephone 3108835728
Enumeration Date 2008-04-08
Last Update Date 2008-04-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor Behavioral Health & Social Service Providers

Office Location

Street Address 4972 W PICO BLVD
SUUITE# 208
City LOS ANGELES
State CA
Zip Code 90019-4200

Providers in the same location

NPI Name Taxonomy Address Enumeration
1851319842 Nasir Ahmed Dentist 4972 W Pico Blvd, Ste 107, Los Angeles, CA 90019-4200 2006-07-17
1578736831 Los Angeles Racovery Center Counselor 4972 W Pico Blvd, Suite#208, Los Angeles, CA 90019-4200 2008-04-08
1174795223 Jeffrey David Marcus Pharmacist 4972 W Pico Blvd, Suite 202, Los Angeles, CA 90019-4200 2008-03-28
1952311409 Ralph Mayer Obstetrics & Gynecology 4972 W Pico Blvd, Suite 201, Los Angeles, CA 90019-4200 2006-08-08

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Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

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1922647569 Ping Sun Counselor 520 S Sepulveda Blvd Ste 200, Los Angeles, CA 90049-3534 2019-12-30
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Competitor

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City LOS ANGELES
Zip Code 90019

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Dataset Information

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.

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