| Java Psychiatry Inc | |
|
13425 Ventura Blvd Ste 201 Sherman Oaks CA 91423-3366 | |
| (818) 305-6061 | |
| Not Available |
| Full Name | Java Psychiatry Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 13425 Ventura Blvd Ste 201, Sherman Oaks, California |
| Authorized Official Name and Position | Neda Javaherian (OWNER/PRESIDENT) |
| Authorized Official Contact | 8184304241 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Java Psychiatry Inc 13425 Ventura Blvd Ste 201 Sherman Oaks CA 91423-3366 Ph: (818) 305-6061 | Java Psychiatry Inc 13425 Ventura Blvd Ste 201 Sherman Oaks CA 91423-3366 Ph: (818) 305-6061 |
| NPI Number | 1265728448 |
|---|---|
| Provider Enumeration Date | 06/25/2011 |
| Last Update Date | 02/12/2024 |
| Certification Date | 02/12/2024 |
| Medicare PECOS PAC ID | 7618146853 |
|---|---|
| Medicare Enrollment ID | O20110804000641 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265728448 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | () | Primary |
| Provider Name | Neda Javaherian |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922250554 PECOS PAC ID: 0042348260 Enrollment ID: I20100510000370 |
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