Andre Jizmejian, is a
Student In An Organized Health Care Education/training Program based in Newport Beach, California. Andre Jizmejian is licensed to practice in California (license number 137901) and his current practice location is
4701 Von Karman Ave Ste 330, Newport Beach, California. He can be reached at his office (for appointments etc.) via phone at
(949) 395-8246.
NPI number for Andre Jizmejian is 1811543515 and his current mailing address is 4701 Von Karman Ave Ste 330, Newport Beach, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1811543515.
Healthcare Provider's Profile
| Full Name | Andre Jizmejian |
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| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 4701 Von Karman Ave Ste 330, Newport Beach, 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: 1811543515
- Provider Enumeration Date: 08/18/2019
- Last Update Date: 10/31/2023
Medical Identifiers
Medical identifiers for Andre Jizmejian such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1811543515 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 106H00000X | Marriage & Family Therapist | 137901 (California) | Secondary |
| 106S00000X | Behavior Technician | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | 137901 (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. Andre Jizmejian 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 |
|---|
Andre Jizmejian,
4701 Von Karman Ave Ste 330,
Newport Beach, CA 92660-8136
Ph: (949) 395-8246 | Andre Jizmejian,
4701 Von Karman Ave Ste 330,
Newport Beach, CA 92660-8136
Ph: (949) 395-8246 |
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