| Igntd, Inc. | |
|
4144 Kenway Ave View Park CA 90008-4810 | |
| (310) 488-3978 | |
| Not Available |
| Full Name | Igntd, Inc. |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 4144 Kenway Ave, View Park, California |
| Authorized Official Name and Position | Adi Jaffe (CEO/EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3104883978 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Igntd, Inc. 4144 Kenway Ave View Park CA 90008-4810 Ph: (888) 557-7217 | Igntd, Inc. 4144 Kenway Ave View Park CA 90008-4810 Ph: (310) 488-3978 |
| NPI Number | 1235854886 |
|---|---|
| Provider Enumeration Date | 10/06/2022 |
| Last Update Date | 04/19/2024 |
| Certification Date | 04/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235854886 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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