MEDICARE: JAMI WINKEL LMFT

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
1	106H00000X	Marriage & Family Therapist	44036	CA

General Provider Information

NPI Number	:	1306073002
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMI WINKEL LMFT

Provider Business Mailing Address
First Line	:	612 N SEPULVEDA BLVD STE 3
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90049-2176
Country	:	US
Telephone Number	:	310-430-9905
Fax Number	:	323-935-1171

Provider Business Practice Location Address
First Line	:	612 N SEPULVEDA BLVD STE 3
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90049-2176
Country	:	US
Telephone Number	:	310-430-9905
Fax Number	:	323-935-1171

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/19/2009
Last Update Date	:	06/19/2009

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