Amaya, Jesie Marie

Amaya, Jesie Marie is an individual health care provider with primary practice located at 2629 Clarendon Ave , Huntington Park CA 90255-4119. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Other Service Providers / Community Health Worker. Other Service Providers / Community Health Worker is her primary health care specialty. Amaya, Jesie Marie can be contacted via phone (323) 584-3700.

Contact Information

Primary practice address
2629 Clarendon Ave Huntington Park CA 90255-4119
Phone: (323) 584-3700
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X R1494900123 California
Other Service Providers / Community Health Worker 172V00000X California

Profile Details

NPI number 1235830928
LBN Legal business name Amaya, Jesie Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2023
Last updated Feb 1st, 2024 - about 10 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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