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: MISS ABIGAIL CLARE SANDICO M.A. IN PROGRESS

MEDICARE:  MISS ABIGAIL CLARE SANDICO  M.A. IN PROGRESS
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 Therapist

General Provider Information

NPI Number : 1811107246
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS ABIGAIL CLARE SANDICO M.A. IN PROGRESS
Provider Business Mailing Address
First Line : 330 CORDOVA ST UNIT 368
Second Line :
City : PASADENA
State : CA
Zip : 91101-4662
Country : US
Telephone Number : 626-744-7748
Fax Number :
Provider Business Practice Location Address
First Line : 4920 AVALON BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90011-4004
Country : US
Telephone Number : 323-235-5035
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2007
Last Update Date : 07/08/2007

Similar Medicare Providers

1851439053 — BAART BEHAVIORAL HEALTH SERVICES, INC.
Practice Location Address:
4920 AVALON BLVD
LOS ANGELES, CA
90011-4004
Practice Phone: 323-235-5035
Practice Fax: 323-235-2023
1326186529 — ADDICTION RESEARCH AND TREATMENT, INC
Practice Location Address:
4920 AVALON BLVD
LOS ANGELES, CA
90011-4004
Practice Phone: 323-235-5035
Practice Fax: 323-235-2023
1194857706 — MR. LOUIE JOSEPH DE LA CRUZ
Practice Location Address:
4920 AVALON BLVD , BAART CLINIC
LOS ANGELES, CA
90011-4004
Practice Phone: 323-235-5035
Practice Fax: 323-235-2023
1699807297 — MRS. MAHSHID MOHTASHAM-REAVES
Practice Location Address:
4920 AVALON BLVD , BAART CLINIC
LOS ANGELES, CA
90011-4004
Practice Phone: 323-235-5035
Practice Fax: 323-230-2023
1073711867 — MRS. PATRICIA ANN WILLIAMS
Practice Location Address:
4920 AVALON BLVD , BAART
LOS ANGELES, CA
90011-4004
Practice Phone: 323-235-5035
Practice Fax: 323-235-2023
1376742189 — MS. DIANA LAYNE WHITE
Practice Location Address:
4920 AVALON BLVD , BAART
LOS ANGELES, CA
90011-4004
Practice Phone: 323-235-5035
Practice Fax: 323-235-2023

Directions to “ MISS ABIGAIL CLARE SANDICO M.A. IN PROGRESS” 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.