Jen, Andrew
Jen, Andrew is an sole proprietor health care provider with primary practice located at 11925 Wilshire Blvd 3Rd Floor, Los Angeles CA 90025-6618. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Forensic. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Jen, Andrew can be contacted via phone (310) 453-2772.Contact Information
Primary practice address
11925 Wilshire Blvd 3Rd Floor
Los Angeles CA 90025-6618
Phone: (310) 453-2772
Fax: (310) 453-3833
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PSY19185 | California |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY19185 | California |
| Behavioral Health & Social Service Providers / Forensic | 103TF0200X | PSY19185 | California |
Profile Details
| NPI number | 1073712584 |
|---|---|
| LBN Legal business name | Jen, Andrew |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 13th, 2007 |
| Last updated | Jul 13th, 2007 - about 17 years 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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