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NPI Code Detail

MEDICARE: JASMIN LAVI

MEDICARE:   JASMIN  LAVI
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
1235Z00000XSpeech-Language Pathologist

General Provider Information

NPI Number : 1457012080
Entity Type Code : Individual
Provider Name (Legal Business Name) : JASMIN LAVI
Provider Business Mailing Address
First Line : 419 N OAKHURST DR UNIT 301
Second Line :
City : BEVERLY HILLS
State : CA
Zip : 90210-4032
Country : US
Telephone Number : 310-869-6925
Fax Number :
Provider Business Practice Location Address
First Line : 16255 VENTURA BLVD STE 1015
Second Line :
City : ENCINO
State : CA
Zip : 91436-2318
Country : US
Telephone Number : 818-941-3388
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/05/2022
Last Update Date : 01/05/2022

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Directions to “ JASMIN LAVI ” Practice Location

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