Healthcare Provider Details

I. General information

NPI: 1831589928
Provider Name (Legal Business Name): JANI ELENI TOURTOUROPOULOS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/28/2015
Last Update Date: 09/03/2024
Certification Date: 09/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 BIRMINGHAM DR STE 240-A
CARDIFF CA
92007-1757
US

IV. Provider business mailing address

4678 GREEN PINE LN
PASO ROBLES CA
93446-4100
US

V. Phone/Fax

Practice location:
  • Phone: 858-208-0121
  • Fax:
Mailing address:
  • Phone: 747-444-6290
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number147898
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: