JASON DAMAVANDI


Address: 5015 W Pico Blvd, Los Angeles, CA 90019-4127
Phone: 3236531677

JASON DAMAVANDI (NPI# 1891005708) 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) 1891005708
Entity Type Individual
Full Name JASON DAMAVANDI
Practice Address 5015 W Pico Blvd
Los Angeles
CA 90019-4127
Mailing Address 26460 Summit Cir
Santa Clarita
CA 91350-2991
Practice Telephone 3236531677
Enumeration Date 2010-10-13
Last Update Date 2010-10-13
Gender Code M
Is Sole Proprietor Y

Taxonomy

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

Office Location

Street Address 5015 W PICO BLVD
City LOS ANGELES
State CA
Zip Code 90019-4127

Providers in the same location

NPI Name Taxonomy Address Enumeration
1801965330 El Dorado Community Service Centerers Clinic/Center 5015 W Pico Blvd, Los Angeles, CA 90019-4127 2006-11-07
1588216675 Latoya Hicks Licensed Vocational Nurse 5015 W Pico Blvd, Los Angeles, CA 90019-4127 2019-07-10
1336591056 Monica Hawkins Licensed Vocational Nurse 5015 W Pico Blvd, Los Angeles, CA 90019-4127 2016-07-06
1477817419 Twanisha Grace Renee Alexander Counselor 5015 W Pico Blvd, Los Angeles, CA 90019-4127 2012-06-25
1861711384 Robert B Reedy Counselor 5015 W Pico Blvd, Los Angeles, CA 90019-4127 2010-05-24
1780824607 Michelle Murphy Counselor 5015 W Pico Blvd, Los Angeles, CA 90019-4127 2009-03-05
1174769418 Fredrick Mccurtis Counselor 5015 W Pico Blvd, Los Angeles, CA 90019-4127 2008-12-16
1326283789 Kenya Horn Counselor 5015 W Pico Blvd, Los Angeles, CA 90019-4127 2008-12-12
1316195423 Elaine Bailey Physician Assistant 5015 W Pico Blvd, Los Angeles, CA 90019-4127 2008-09-03
1235331760 Cynthia Louise Madere Counselor 5015 W Pico Blvd, Los Angeles, CA 90019-4127 2007-06-05
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1912353491 Sung Won Lee Acupuncturist 4027 W. Pico Bl., Los Angeles, CA 90019 2016-05-13
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1336483122 Nancy Denise - Latten Davidson Student in an Organized Health Care Education/Training Program 4073-75 West Pico Blvd, Los Angeles, CA 90019 2012-11-16
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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 90019

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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