Dr Jose Javier Juarez, PSYD is a
Student In An Organized Health Care Education/training Program based in Tarzana, California. Dr Jose Javier Juarez is licensed to practice in California (license number PSB94027661) and his current practice location is
18646 Oxnard St, Tarzana, California. He can be reached at his office (for appointments etc.) via phone at
(818) 996-1057.
NPI number for Dr Jose Javier Juarez is 1558480731 and his current mailing address is 9938 Sepulveda Blvd Apt 5, Mission Hills, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1558480731.
Healthcare Provider's Profile
| Full Name | Dr Jose Javier Juarez |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 18646 Oxnard St, Tarzana, 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: 1558480731
- Provider Enumeration Date: 03/28/2007
- Last Update Date: 07/30/2024
Medical Identifiers
Medical identifiers for Dr Jose Javier Juarez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1558480731 | NPI | - | NPPES |
| 00007300 | Medicaid | CA | |
| CBSC566 | Other | CA | LA DMH PROVIDER |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | LPCC1251 (California) | Secondary |
| 103TS0200X | Psychologist - School | LEP3640 (California) | Secondary |
| 106H00000X | Marriage & Family Therapist | MFC47346 (California) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | PSB94027661 (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. Dr Jose Javier Juarez 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 |
|---|
Dr Jose Javier Juarez, PSYD
9938 Sepulveda Blvd Apt 5,
Mission Hills, CA 91345-2990
Ph: (818) 634-4783 | Dr Jose Javier Juarez, PSYD
18646 Oxnard St,
Tarzana, CA 91356-1411
Ph: (818) 996-1057 |
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