| David Haynik, Lcsw, Professional Corporation | |
|
7211 Santa Monica Blvd Ste 400 West Hollywood CA 90046-6790 | |
| (323) 252-3494 | |
| (323) 284-0297 |
| Full Name | David Haynik, Lcsw, Professional Corporation |
|---|---|
| Speciality | Social Worker |
| Location | 7211 Santa Monica Blvd Ste 400, West Hollywood, California |
| Authorized Official Name and Position | David D Haynik (OWNER) |
| Authorized Official Contact | 3232523494 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| David Haynik, Lcsw, Professional Corporation 7211 Santa Monica Blvd Ste 400 West Hollywood CA 90046-6790 Ph: (323) 252-3494 | David Haynik, Lcsw, Professional Corporation 7211 Santa Monica Blvd Ste 400 West Hollywood CA 90046-6790 Ph: (323) 252-3494 |
| NPI Number | 1649803677 |
|---|---|
| Provider Enumeration Date | 02/18/2020 |
| Last Update Date | 01/03/2023 |
| Certification Date | 01/03/2023 |
| Medicare PECOS PAC ID | 4183040488 |
|---|---|
| Medicare Enrollment ID | O20200818000636 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649803677 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | David D Haynik |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679732648 PECOS PAC ID: 5092131391 Enrollment ID: I20200818000831 |
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