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NPI Code Detail

MEDICARE: JANELLE DENT LMFT

MEDICARE: JANELLE DENT 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
1106H00000XMarriage & Family TherapistIMF52357CA
2106H00000XMarriage & Family Therapist49596CA

General Provider Information

NPI Number : 1447323985
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANELLE DENT LMFT
Provider Business Mailing Address
First Line : 2121 W TEMPLE ST
Second Line :
City : LOS ANGELES
State : CA
Zip : 90026-4915
Country : US
Telephone Number : 213-385-5100
Fax Number : 310-329-3611
Provider Business Practice Location Address
First Line : 2121 W TEMPLE ST
Second Line :
City : LOS ANGELES
State : CA
Zip : 90026-4915
Country : US
Telephone Number : 213-385-5100
Fax Number : 310-329-3611
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/15/2006
Last Update Date : 11/13/2020

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