| Julia Jensen Mft Inc | |
|
24050 Madison St Ste 100a Torrance CA 90505-6080 | |
| (310) 539-2727 | |
| Not Available |
| Full Name | Julia Jensen Mft Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 24050 Madison St Ste 100a, Torrance, California |
| Authorized Official Name and Position | Julia Jensen (OWNER) |
| Authorized Official Contact | 3105392727 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Julia Jensen Mft Inc 2727 W 234th St Torrance CA 90505-3117 Ph: () - | Julia Jensen Mft Inc 24050 Madison St Ste 100a Torrance CA 90505-6080 Ph: (310) 539-2727 |
| NPI Number | 1285452383 |
|---|---|
| Provider Enumeration Date | 09/28/2024 |
| Last Update Date | 11/17/2024 |
| Certification Date | 11/17/2024 |
| Medicare PECOS PAC ID | 9638606957 |
|---|---|
| Medicare Enrollment ID | O20241227002735 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285452383 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Julia Jensen |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1811129638 PECOS PAC ID: 2668907817 Enrollment ID: I20241125001387 |
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