ANDREW GLENN IONATUIVAITI NPI 1285195545

NPI Information

NPI: 1285195545
Provider Name: ANDREW GLENN IONATUIVAITI
Classification: Counselor - 101Y00000X
Entity Type: Individual
Address:
2644 30TH ST STE 100
SANTA MONICA, CA
ZIP 90405
Phone: (310) 314-6200
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Andrew Glenn Ionatuivaiti is a counselor in Santa Monica, CA. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Andrew Glenn Ionatuivaiti NPI is 1285195545. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2644 30TH ST STE 100
SANTA MONICA, CA
ZIP 90405-051
Phone: (310) 314-6200
Fax: (310) 450-2024

The enumeration date for this NPI number is 3/28/2019 and was last updated on 3/28/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101Y00000X	Counselor		R1335360119	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	R1335360119	MEDICAID	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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