Ivan R Johnson is a Counselor in Los Angeles, California. Ivan R Johnson practices all healthcare services and medical treatments related to Counselor. The NPI Number for Ivan R Johnson is 1124226808. The last update date is 2023-06-27.
Ivan R Johnson's current location address is 4211 Avalon Blvd, Los Angeles, California. You can contact this provider via phone number 3232330425. The mailing address for Ivan R Johnson is 4211 Avalon Blvd, Los Angeles, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ivan R Johnson |
|---|---|
| Address | 4211 Avalon Blvd, Los Angeles, California |
| Phone Number | 3232330425 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | INTAKE SPE |
NPI Number Detail
| NPI Number | 1124226808 |
|---|---|
| Provider Enumeration Date | 2007-07-05 |
| Last Updated Date | 2023-06-27 |
Provider Mailing Address Detail
| Address | 4211 Avalon Blvd |
|---|---|
| City | Los Angeles |
| State | California (CA) |
| Post Code | 900115622 |
| Phone Number | 3232330425 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Counselor |
|---|---|
| Taxonomy | 101Y00000X |
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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 supe |
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Post Comment/ Review Below
What is the Ivan R Johnson's unique identification number?
The Ivan R Johnson has been assigned the NPI (National Provider Identifier) Number 1124226808 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Ivan R Johnson?
The Ivan R Johnson is situated at 4211 Avalon Blvd, in the city of Los Angeles, state of CA, with the zip code 900115622.
What is Ivan R Johnson's area of expertise and its corresponding taxonomy classification?
The Ivan R Johnson's field of specialization is Counselor, and it falls under the taxonomy code 101Y00000X, which categorizes healthcare providers based on their areas of practice.
On what date did Ivan R Johnson receive its 1124226808 assignment from the Centers for Medicare & Medicaid Services?
The Ivan R Johnson was assigned its 1124226808 on 2007-07-05, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Ivan R Johnson most recently updated or refreshed?
The details pertaining to the Ivan R Johnson, including its address, specialty, and other relevant information, were last updated or refreshed on 2023-06-27.
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