Biruktait Zewdie

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

R119200115 Issued in CA

Practice address

3756 Santa Rosalia Dr Ste 417
Los Angeles, CA 90008-3614

Phone

(323) 295-1136

Fax

(323) 295-1071

NPI assigned

Jan 29, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1422489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422489600000",
    "number": "1265822159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 N EUCALYPTUS AVE",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903023632",
            "telephone_number": "323-952-1995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3756 SANTA ROSALIA DR STE 417",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900083614",
            "telephone_number": "323-295-1136",
            "fax_number": "323-295-1071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEWDIE",
        "first_name": "BIRUKTAIT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-29",
        "last_updated": "2015-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "R119200115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lei Raiza Zervoulakos
• Olga Zervoulakos
• Zes Perspectives, LLC
• Elisabeth Zeuch
• Nelida Zevallos
• Hongbin Dan Zha, MD
• Anna Zhamkochyan, PHARMD
• Jennifer Zhan, M.D.
• Lihua Zhang Marshall, PH.D., LIC. AC.
• Sandy Xinyu Zhang-Nunes, M.D.

• Addiction (Substance Use Disorder) Counselor in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2015; 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.