JAVAN WELLNESS BALLSTON LLC NPI 1720639503

NPI Information

  • NPI: 1720639503
  • Provider Name: JAVAN WELLNESS BALLSTON LLC
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Address: 4000 WILSON BLVD STE D
    ARLINGTON, VA
    ZIP 22203
  • Phone: (301) 962-4278

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NPI Details

JAVAN WELLNESS BALLSTON LLC is a clinic center in Arlington, VA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). JAVAN WELLNESS BALLSTON LLC NPI is 1720639503. The provider is registered as an organization entity type.

The provider's business location address is:

4000 WILSON BLVD STE D
ARLINGTON, VA
ZIP 22203-401
Phone: (301) 962-4278

The provider's authorized official is Ehsan Abdeshahian .
The authorized official title is Owner and has the following contact phone number (301) 962-4278.

The enumeration date for this NPI number is 9/24/2019 and was last updated on 9/24/2019.

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
1261Q00000XClinic/CenterYes

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: 11/21/2025

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