Avanza Family Services Incorporated

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

AVANZA FAMILY SERVICES INCORPORATED

Practice address

4325 W Sunset Blvd Ste 209
Los Angeles, CA 90029-2180

Phone

(310) 878-2599

Fax

(323) 798-4416

NPI assigned

Jan 27, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Cesar Jass, LMFTNPI 1457637381

Title

Executive Director

Phone

(310) 346-1019

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cesar Jass

  • Marriage & Family Therapist
  • Gardena, CA
  • NPI 1457637381
  NPD Authorized official
• Amanda V Colon, AMFT

  • Marriage & Family Therapist
  • Los Angeles, CA
  • NPI 1215604665
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1611705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636416000000",
    "number": "1104417617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6510 LA MIRADA AVE APT 305",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900381465",
            "telephone_number": "310-346-1019",
            "fax_number": "323-798-4416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4325 W SUNSET BLVD STE 209",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900292180",
            "telephone_number": "310-878-2599",
            "fax_number": "323-798-4416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVANZA FAMILY SERVICES INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-27",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A",
        "authorized_official_last_name": "JASS",
        "authorized_official_first_name": "CESAR",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "310-346-1019",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.