JAMES BOTTOMS


Address: 1626 N Serrano Ave Apt 5/8, Los Angeles, CA 90027-4806
Phone: 2133081130

JAMES BOTTOMS (NPI# 1871068759) 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) 1871068759
Entity Type Individual
Full Name JAMES BOTTOMS
Credential MFT
Practice Address 1626 N Serrano Ave Apt 5/8
Los Angeles
CA 90027-4806
Practice Telephone 2133081130
Enumeration Date 2018-10-08
Last Update Date 2018-10-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
109431 CA Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
BBS 108431 01
MFT LICENSE 109431 01

Other Providers JAMES BOTTOMS

NPI Name Taxonomy Address Enumeration
1407357676 James Bottoms Pharmacist 3920 Lakeview Isle Ct, Fort Myers, FL 33905-5852 2018-02-23

Office Location

Street Address 1626 N SERRANO AVE APT 5/8
City LOS ANGELES
State CA
Zip Code 90027-4806

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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1194330274 Marilyn S Zweifach Psychologist 3606 Barry Avenue, Los Angeles, CA 90066 2020-09-15
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1770100737 Mary Carde Psychologist 1572 Ensley Ave, Los Angeles, CA 90024-5325 2020-06-25
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Competitor

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City LOS ANGELES
Zip Code 90027

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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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