Ethan J Hovest, LCDCIII is a
Rehabilitation Practitioner based in Los Angeles, California. Ethan J Hovest is licensed to practice in * (Not Available) (license number ) and his current practice location is
12021 Wilmington Ave Ste 2b, Los Angeles, California. He can be reached at his office (for appointments etc.) via phone at
(310) 221-6336.
NPI number for Ethan J Hovest is 1245748854 and his current mailing address is 12021 Wilmington Ave Ste 2b, Los Angeles, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1245748854.
Healthcare Provider's Profile
| Full Name | Ethan J Hovest |
|---|
| Gender | Male |
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| Speciality | Rehabilitation Practitioner |
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| Location | 12021 Wilmington Ave Ste 2b, Los Angeles, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1245748854
- Provider Enumeration Date: 01/17/2018
- Last Update Date: 12/19/2022
Medical Identifiers
Medical identifiers for Ethan J Hovest such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1245748854 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LCDCIII.161388 (Ohio) | Secondary |
| 225400000X | Rehabilitation Practitioner | (* (Not Available)) | 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. Ethan J Hovest 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 |
|---|
Ethan J Hovest, LCDCIII
12021 Wilmington Ave Ste 2b,
Los Angeles, CA 90059-3019
Ph: (310) 221-6336 | Ethan J Hovest, LCDCIII
12021 Wilmington Ave Ste 2b,
Los Angeles, CA 90059-3019
Ph: (310) 221-6336 |
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