Jeremy Fain, is a
Counselor - Mental Health based in Los Angeles, California. Jeremy Fain is licensed to practice in California (license number 74767) and his current practice location is
470 E 3rd St Ste C, Los Angeles, California. He can be reached at his office (for appointments etc.) via phone at
(213) 620-5712.
NPI number for Jeremy Fain is 1679096556 and his current mailing address is 470 E 3rd St Ste C, Los Angeles, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1679096556.
Healthcare Provider's Profile
| Full Name | Jeremy Fain |
|---|
| Gender | Male |
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| Speciality | Counselor - Mental Health |
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| Location | 470 E 3rd St Ste C, Los Angeles, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1679096556
- Provider Enumeration Date: 07/21/2017
- Last Update Date: 11/29/2017
Medical Identifiers
Medical identifiers for Jeremy Fain such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1679096556 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1041C0700X | Social Worker - Clinical | ASW74767 (California) | Secondary |
| 101YM0800X | Counselor - Mental Health | 74767 (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. Jeremy Fain 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 |
Jeremy Fain, 470 E 3rd St Ste C, Los Angeles, CA 90013-1630 Ph: () - | Jeremy Fain, 470 E 3rd St Ste C, Los Angeles, CA 90013-1630 Ph: (213) 620-5712 |
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