Jacklyn Kokuashvili

NPI 1407668064 · on the registry since 2025

Practice

Address: 30851 Agoura Rd Ste 300a
Agoura Hills, CA 91301
Phone: (818) 532-7600
Organisation at this address: Evolve Home Health
Php Recovery Center
Classic Sleepcare Llc
Comfort Recovery Iop Llc
Classic Sleepcareime, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 8

Registry record

Primary taxonomy: 225100000X
225100000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2025-01-22

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