Trayveon K Pittman in Los Angeles - Case Manager/care Coordinator

Trayveon K Pittman - NPI 1063615771

Trayveon K Pittman is a Case Manager/care Coordinator in Los Angeles, California. Trayveon K Pittman practices all healthcare services and medical treatments related to Case Manager/care Coordinator. The NPI Number for Trayveon K Pittman is 1063615771. The last update date is 2007-07-08.

Trayveon K Pittman's current location address is 5115 W Adams Blvd, Los Angeles, California. You can contact this provider via phone number 3239334391 and fax number 3239335973. The mailing address for Trayveon K Pittman is 5115 W Adams Blvd, Los Angeles, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Trayveon K Pittman
Address 5115 W Adams Blvd, Los Angeles, California
Phone Number 3239334391
Fax Number 3239335973
Sole Proprietor Y
Credentials --

NPI Number Detail

NPI Number 1063615771
Provider Enumeration Date 2007-06-08
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 5115 W Adams Blvd
City Los Angeles
State California (CA)
Post Code 900162727
Phone Number 3239334391
Fax Number 3239335973

Provider's Primary Taxonomy Detail

Speciality Case Manager/care Coordinator
Taxonomy 171M00000X
Licence No 5841
Definition:
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a pe

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
5841 CA CAS REGISTRATION

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FAQs about Trayveon K Pittman

What is the unique identifier code issued to Trayveon K Pittman by the Centers for Medicare & Medicaid Services (CMS)?

The Trayveon K Pittman has been assigned the NPI (National Provider Identifier) 1063615771. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical location address where Trayveon K Pittman's facilities are situated?

The facilities of Trayveon K Pittman are physically located at the following address: 5115 W Adams Blvd, Los Angeles, CA, 900162727.

What is Trayveon K Pittman's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Trayveon K Pittman is Case Manager/care Coordinator, and the taxonomy code that categorizes this field of expertise is 171M00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1063615771 to Trayveon K Pittman?

The Centers for Medicare & Medicaid Services originally issued the 1063615771 to Trayveon K Pittman on 2007-06-08.

As of what date were the details pertaining to Trayveon K Pittman last refreshed?

The information related to the Trayveon K Pittman, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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