Prinzivalli, Jeanne Marie Abbott
Prinzivalli, Jeanne Marie Abbott is an sole proprietor health care provider with primary practice located at 10642 Santa Monica Blvd Ste 209 , Los Angeles CA 90025. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Prinzivalli, Jeanne Marie Abbott can be contacted via phone (310) 853-1536.Contact Information
Primary practice address
10642 Santa Monica Blvd Ste 209
Los Angeles CA 90025
Phone: (310) 853-1536
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | 165 | California |
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 52833 | California |
Profile Details
| NPI number | 1366749103 |
|---|---|
| LBN Legal business name | Prinzivalli, Jeanne Marie Abbott |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 14th, 2011 |
| Last updated | Jun 13th, 2018 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366749103 | NPPES |
| California | Other | 7667 | MEDI-CAL |
| California | Other | 7184 | MEDI-CAL |
| California | Other | 7368 | MEDI-CAL |
| California | Other | 7708 | MEDI-CAL |
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