White, Jazmin A

White, Jazmin A is an sole proprietor health care provider with primary practice located at 5275 Claremont Ave , Oakland CA 94618-1032. She recently has only one registered license in Behavioral Health & Social Service Providers / Health Service, which is considered as her primary health care specialty. White, Jazmin A can be contacted via phone (510) 428-3885.

Contact Information

Primary practice address
5275 Claremont Ave Oakland CA 94618-1032
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Health Service 103TH0100X

Profile Details

NPI number 1184280570
LBN Legal business name White, Jazmin A
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 12th, 2019
Last updated Jun 11th, 2019 - about 5 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1184280570 NPPES
California MEDICAID 162380

Popular Providers