MR. NOE ALFREDO GAVIDIA


Address: 1926 Beverly Blvd, Los Angeles, CA 90057-2402
Phone: 2133531140

MR. NOE ALFREDO GAVIDIA (NPI# 1457980898) 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) 1457980898
Entity Type Individual
Full Name MR. NOE ALFREDO GAVIDIA
Practice Address 1926 Beverly Blvd
Los Angeles
CA 90057-2402
Practice Telephone 2133531140
Mailing Telephone 2133531140
Enumeration Date 2020-04-07
Last Update Date 2020-04-07
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
CA Behavioral Health & Social Service Providers

Office Location

Street Address 1926 BEVERLY BLVD
City LOS ANGELES
State CA
Zip Code 90057-2402

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NPI Name Taxonomy Address Enumeration
1104912336 David Koroshec Family Medicine 1926 Beverly Blvd, Los Angeles, CA 90057-2402 2006-10-05
1407461510 Liliana Martinez Psychologist 1926 Beverly Blvd, Los Angeles, CA 90057-2402 2020-09-15
1871105189 Kristen Parrish Marriage & Family Therapist 1926 Beverly Blvd, Los Angeles, CA 90057-2402 2020-08-18
1700494705 Rachael Michele Moore Marriage & Family Therapist 1926 Beverly Blvd, Los Angeles, CA 90057-2402 2020-07-16
1790308013 Jorge Martin Marriage & Family Therapist 1926 Beverly Blvd, Los Angeles, CA 90057-2402 2020-05-20
1003456385 Edward Chavez Counselor 1926 Beverly Blvd, Los Angeles, CA 90057-2402 2020-01-14
1104466267 Latham Lawton Iv Counselor 1926 Beverly Blvd, Los Angeles, CA 90057-2402 2020-01-07
1629615638 Sarah Jean Han Counselor 1926 Beverly Blvd, Los Angeles, CA 90057-2402 2019-12-09
1922641430 Mark Fernandez Counselor 1926 Beverly Blvd, Los Angeles, CA 90057-2402 2019-10-28
1053962845 Robert Gustavo Jimenez Marriage & Family Therapist 1926 Beverly Blvd, Los Angeles, CA 90057-2402 2019-09-24
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

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Competitor

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City LOS ANGELES
Zip Code 90057

Improve Information

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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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