JASEN MCGOLDRICK NPI 1023556610

NPI Information

Jasen Mcgoldrick is a substance abuse rehabilitation facility in Los Angeles, CA. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. Jasen Mcgoldrick NPI is 1023556610. 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:

4445 BURNS AVE.
LOS ANGELES, CA
ZIP 90029
Phone: (323) 244-8397

The enumeration date for this NPI number is 2/3/2017 and was last updated on 2/3/2017.

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:

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