DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MADISON BLAIR

MEDICARE: MADISON BLAIR
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
1101YM0800XMental Health Counselor109481

General Provider Information

NPI Number : 1558993949
Entity Type Code : Individual
Provider Name (Legal Business Name) : MADISON BLAIR
Provider Business Mailing Address
First Line : 3001 W VERNON AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90008-5293
Country : US
Telephone Number : 626-480-8107
Fax Number :
Provider Business Practice Location Address
First Line : 3001 W VERNON AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90008-5293
Country : US
Telephone Number : 626-480-8107
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/04/2020
Last Update Date : 08/09/2022

Similar Medicare Providers

1285916882 — EGGLESTON YOUTH CENTERS, INC.
Practice Location Address:
3001 W VERNON AVE
LOS ANGELES, CA
90008-5293
Practice Phone: 323-299-9554
Practice Fax: 323-299-9540
1730463548 — EGGLESTON YOUTH CENTERS, INC.
Practice Location Address:
3001 W VERNON AVE
LOS ANGELES, CA
90008-5293
Practice Phone: 323-954-1464
Practice Fax: 323-954-9515
1538417530 — MS. JENNIFER ARIANNA RAY PHD, LCSW
Practice Location Address:
3001 W VERNON AVE
LOS ANGELES, CA
90008-5293
Practice Phone: 626-349-0506
Practice Fax:
1811444839 — MAYRA SANTANA
Practice Location Address:
3001 W VERNON AVE
LOS ANGELES, CA
90008-5293
Practice Phone: 323-954-1464
Practice Fax:
1225523160 — JOANNA EDITH CASTRO GONZALEZ
Practice Location Address:
3001 W VERNON AVE
LOS ANGELES, CA
90008-5293
Practice Phone: 323-954-1464
Practice Fax:
1629695184 — CLIFFORD UZOMA MEREMIKWU
Practice Location Address:
3001 W VERNON AVE
LOS ANGELES, CA
90008-5293
Practice Phone: 323-299-9554
Practice Fax: 323-299-9540

Directions to “ MADISON BLAIR ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.