Healthcare Provider Details

I. General information

NPI: 1205142379
Provider Name (Legal Business Name): HJTT OF WASHINGTON
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2010
Last Update Date: 08/26/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1111 S FIGUEROA ST LAKER'S CONFERENCE ROOM
LOS ANGELES CA
90015-1300
US

IV. Provider business mailing address

6710 CARLETON AVE S UNIT A
SEATTLE WA
98108-3557
US

V. Phone/Fax

Practice location:
  • Phone: 213-446-7907
  • Fax:
Mailing address:
  • Phone: 213-446-7907
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. RAHIL AL-SAKHI
Title or Position: MEDICAL DIRECTOR/GOVERNMENT WRITER
Credential: M.D.
Phone: 213-446-7907