Active NPI
Aj Rich Family Therapy Inc
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Los Angeles, CA
National Provider Identifier
1891565982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- AJ RICH FAMILY THERAPY INC
- Practice address
- 2812 Avenel St
Los Angeles, CA 90039-2047 - Phone
- (818) 381-9490
- NPI assigned
- Jan 8, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alfredo J Fernandez Rich, LMFT
- Title
- Owner
- Phone
- (818) 381-9490
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
2812 Avenel St
Los Angeles, CA 90039-2047
Mailing address
2812 Avenel St
Los Angeles, CA 90039-2047
Phone (818) 381-9490
National Provider Directory
National Provider DirectoryLocations
2812 Avenel St
Los Angeles, CA 90039
Phone (323) 627-7020
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Social Worker
- New York, NY
- NPI 1093580870
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704672000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1704672000000",
"number": "1891565982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2812 AVENEL ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900392047",
"telephone_number": "818-381-9490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2812 AVENEL ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900392047",
"telephone_number": "818-381-9490"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AJ RICH FAMILY THERAPY INC",
"organizational_subpart": "NO",
"enumeration_date": "2024-01-08",
"last_updated": "2024-01-08",
"certification_date": "2024-01-08",
"status": "A",
"authorized_official_last_name": "FERNANDEZ RICH",
"authorized_official_first_name": "ALFREDO",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "818-381-9490",
"authorized_official_credential": "LMFT"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.