Organization Name: | TONYA M. JAVADI, INC |
NPI Number: | 1093161218 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TONYA JAVADI (CEO) |
Mailing Address: | 114 E Grand Ave El Segundo |
State: | CA US |
Postal Code: | 902453841 |
Phone Number: | 3108197332 |
Fax Number: | |
NPI Enumeration Date: | 05/06/2016 |
NPI Last Update Date: | 05/16/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | LCSW5470 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |