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NPI Code Detail

MEDICARE: WAYFINDER FAMILY SERVICES

MEDICARE: WAYFINDER FAMILY SERVICES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health AgencyCA
2322D00000XEmotionally Disturbed Childrens' Residential Treatment Facility

General Provider Information

NPI Number : 1699973198
Entity Type Code : Organization
Provider Name (Legal Business Name) : WAYFINDER FAMILY SERVICES
Provider Business Mailing Address
First Line : 5300 ANGELES VISTA BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90043-1648
Country : US
Telephone Number : 323-295-4555
Fax Number : 323-508-0150
Provider Business Practice Location Address
First Line : 5300 ANGELES VISTA BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90043-1648
Country : US
Telephone Number : 323-295-4555
Fax Number : 323-508-0150
Authorized Official
Title or Position : PRESIDENT /CEO
Name : MS. MIKI JORDAN
Credential : MS
Telephone Number : 323-295-4555
Provider Enumeration Date : 07/05/2007
Last Update Date : 06/11/2020

Similar Medicare Providers

1194007849 — MICHELLE CONSTANTINO
Practice Location Address:
5300 ANGELES VISTA BLVD
LOS ANGELES, CA
90043-1648
Practice Phone: 323-295-4555
Practice Fax:
1932473022 — WAYFINDER FAMILY SERVICES
Practice Location Address:
5300 ANGELES VISTA BLVD
LOS ANGELES, CA
90043-1648
Practice Phone: 323-295-4555
Practice Fax: 323-508-0150
1528309895 — MS. MARYANNE JOY TOLENTINO ATIENZA LVN
Practice Location Address:
5300 ANGELES VISTA BLVD
LOS ANGELES, CA
90043-1648
Practice Phone: 323-295-4555
Practice Fax: 323-295-3021
1871834143 — MS. TACARA M. FLEMING LVN
Practice Location Address:
5300 ANGELES VISTA BLVD
LOS ANGELES, CA
90043-1648
Practice Phone: 323-295-4555
Practice Fax: 323-295-3021
1891038550 — MS. DOMINIQUE SHAUNTE REYNOLDS
Practice Location Address:
5300 ANGELES VISTA BLVD
LOS ANGELES, CA
90043-1648
Practice Phone: 323-295-4555
Practice Fax: 323-295-3021
1952728768 — HOWARD TAN
Practice Location Address:
5300 ANGELES VISTA BLVD
LOS ANGELES, CA
90043-1648
Practice Phone: 323-295-4555
Practice Fax:

Directions to “WAYFINDER FAMILY SERVICES ” Practice Location

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