Jeremy Fain, is a
Counselor - Mental Health based in Los Angeles, California. Jeremy Fain is licensed to practice in California (license number 74767) and his current practice location is
470 E 3rd St Ste C, Los Angeles, California. He can be reached at his office (for appointments etc.) via phone at
(213) 620-5712.
NPI number for Jeremy Fain is 1679096556 and his current mailing address is 470 E 3rd St Ste C, Los Angeles, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1679096556.
Healthcare Provider's Profile
Full Name | Jeremy Fain |
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Gender | Male |
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Speciality | Counselor - Mental Health |
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Location | 470 E 3rd St Ste C, Los Angeles, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1679096556
- Provider Enumeration Date: 07/21/2017
- Last Update Date: 11/29/2017
Medical Identifiers
Medical identifiers for Jeremy Fain such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1679096556 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | ASW74767 (California) | Secondary |
101YM0800X | Counselor - Mental Health | 74767 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jeremy Fain is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jeremy Fain, 470 E 3rd St Ste C, Los Angeles, CA 90013-1630 Ph: () - | Jeremy Fain, 470 E 3rd St Ste C, Los Angeles, CA 90013-1630 Ph: (213) 620-5712 |
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