Mr Jose Luis Bolanos, - Counselor in Burbank, CA

Mr Jose Luis Bolanos, is a Counselor - Addiction (substance Use Disorder) based in Burbank, California. Mr Jose Luis Bolanos is licensed to practice in * (Not Available) (license number ) and his current practice location is 2116 N Frederic St, 18646 Oxnard St, Burbank, California. He can be reached at his office (for appointments etc.) via phone at (818) 953-8926.

NPI number for Mr Jose Luis Bolanos is 1457563470 and his current mailing address is 2116 N Frederic St, 18646 Oxnard St, Burbank, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1457563470.

Contact Information

Mr Jose Luis Bolanos,
2116 N Frederic St, 18646 Oxnard St,
Burbank, CA 91504-3323
(818) 953-8926
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameMr Jose Luis Bolanos
GenderMale
SpecialityCounselor - Addiction (substance Use Disorder)
Location2116 N Frederic St, Burbank, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1457563470
  • Provider Enumeration Date: 05/03/2007
  • Last Update Date: 10/10/2007

Medical Identifiers

Medical identifiers for Mr Jose Luis Bolanos such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457563470NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) (* (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. Mr Jose Luis Bolanos 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 AddressPractice Location Address
Mr Jose Luis Bolanos,
2116 N Frederic St, 18646 Oxnard St,
Burbank, CA 91504-3323

Ph: (818) 953-8926
Mr Jose Luis Bolanos,
2116 N Frederic St, 18646 Oxnard St,
Burbank, CA 91504-3323

Ph: (818) 953-8926

Reviews and Comments


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