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: JESSICA RAE DINEEN MS

MEDICARE:   JESSICA RAE DINEEN  MS
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
1101Y00000XCounselor
2101YP2500XProfessional Counselor12451CA

General Provider Information

NPI Number : 1780910133
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA RAE DINEEN MS
Provider Business Mailing Address
First Line : 27711 NIGUEL VILLAGE DR
Second Line :
City : LAGUNA NIGUEL
State : CA
Zip : 92677-4017
Country : US
Telephone Number : 949-280-1994
Fax Number :
Provider Business Practice Location Address
First Line : 11835 W OLYMPIC BLVD STE 815E
Second Line :
City : LOS ANGELES
State : CA
Zip : 90064-5056
Country : US
Telephone Number : 323-332-9905
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/20/2009
Last Update Date : 02/22/2023

Similar Medicare Providers

1063233310 — ANNA RAMOS
Practice Location Address:
11835 W OLYMPIC BLVD STE 815E
LOS ANGELES, CA
90064-5056
Practice Phone: 323-332-9905
Practice Fax:
1730408824 — CHRISTOPHER RUFF LPC CANDIDATE
Practice Location Address:
11835 W OLYMPIC BLVD STE 815E
LOS ANGELES, CA
90064-5056
Practice Phone: 323-379-3385
Practice Fax:
1104101310 — SARA ROSE VAN KONINGSVELD
Practice Location Address:
11835 W OLYMPIC BLVD STE 815E
LOS ANGELES, CA
90064-5056
Practice Phone: 323-332-9905
Practice Fax:
1790164994 — JILLIAN ZIESMER
Practice Location Address:
11835 W OLYMPIC BLVD STE 815E
LOS ANGELES, CA
90064-5056
Practice Phone: 310-428-7240
Practice Fax:
1811401474 — SABA KERENDIAN
Practice Location Address:
11835 W OLYMPIC BLVD STE 815E
LOS ANGELES, CA
90064-5056
Practice Phone: 818-275-4633
Practice Fax:
1215416102 — KAREN LUU PMHNP
Practice Location Address:
11835 W OLYMPIC BLVD STE 815E
LOS ANGELES, CA
90064-5056
Practice Phone: 323-332-9905
Practice Fax: 323-366-3987

Directions to “ JESSICA RAE DINEEN MS” 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.