Jeannine Dehara, is a
Licensed Psychiatric Technician based in Downey, California. Jeannine Dehara is licensed to practice in California (license number 42894) and her current practice location is
7745 Leeds St, Downey, California. She can be reached at her office (for appointments etc.) via phone at
(310) 221-6336.
NPI number for Jeannine Dehara is 1851067698 and her current mailing address is 7745 Leeds St, Downey, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1851067698.
Provider's Profile
Full Name | Jeannine Dehara |
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Gender | Female |
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Speciality | Licensed Psychiatric Technician |
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Location | 7745 Leeds St, Downey, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1851067698
- Provider Enumeration Date: 08/20/2021
- Last Update Date: 10/14/2024
Medical Identifiers
Medical identifiers for Jeannine Dehara such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1851067698 | NPI | - | NPPES |
1487916755 | Medicaid | CA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164X00000X | Licensed Vocational Nurse | 42894 (California) | Secondary |
171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
167G00000X | Licensed Psychiatric Technician | 42894 (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. Jeannine Dehara 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 |
Jeannine Dehara, 7745 Leeds St, Downey, CA 90242-3489 Ph: (310) 221-6336 | Jeannine Dehara, 7745 Leeds St, Downey, CA 90242-3489 Ph: (310) 221-6336 |
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