| Avanza Family Services Incorporated | |
|
4325 W Sunset Blvd Ste 209 Los Angeles CA 90029-2180 | |
| (310) 878-2599 | |
| (323) 798-4416 |
| Full Name | Avanza Family Services Incorporated |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 4325 W Sunset Blvd Ste 209, Los Angeles, California |
| Authorized Official Name and Position | Cesar Jass (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3103461019 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Avanza Family Services Incorporated 6510 La Mirada Ave Apt 305 Los Angeles CA 90038-1465 Ph: (310) 346-1019 | Avanza Family Services Incorporated 4325 W Sunset Blvd Ste 209 Los Angeles CA 90029-2180 Ph: (310) 878-2599 |
| NPI Number | 1104417617 |
|---|---|
| Provider Enumeration Date | 01/27/2021 |
| Last Update Date | 11/09/2021 |
| Certification Date | 11/09/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104417617 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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