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Search › California › Early Intervention Provider Agency

Jessica Ahdout

NPI 1073886982 · on the registry since 2012 · sole proprietor

Practice

Address
5000 W Sunset Blvd
Suite 510
Los Angeles, CA 90027
Phone
(323) 644-9380
Organisation at this address
Children'S Hospital
Hollywood Wellness Center
Special Service For Groups
Gracelight Community Health
Gracelight Community Health
Inferred from a shared address, not stated in the registry.
Clinicians at this address
85

Registry record

Primary taxonomy
Early Intervention Provider Agency
252Y00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2012-02-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California