Deborah Anne Afshar
Individual provider Active NPI Rehabilitation Practitioner · Los Angeles, CA
NPI 1962643775 · NPPES record last updated Aug 11, 2014
Key facts
- NPI
- 1962643775
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Rehabilitation Practitioner 225400000X
- Practice address
- 2500 Wilshire Blvd FL 5
Los Angeles, CA 90057-4303 - Phone
- (213) 639-0351
- NPI assigned
- Mar 9, 2009
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Case Manager/Care Coordinator | 171M00000X | |||
| Rehabilitation Practitioner | 225400000X | Yes |
Addresses
Primary practice location
2500 Wilshire Blvd FL 5
Los Angeles, CA 90057-4303
Mailing address
19821 Falcon Crest CT
Porter Ranch, CA 91326-4037
Phone (818) 518-5882
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 196856000 | Medicaid | CA | |
| CMM70956F | Medicaid | CA |
Other providers in Los Angeles, CA
- Mohammad Khairul Afsar
- Nasim Afsarmanesh
- Negar Afshar Moghadam
- Manijeh Afshar-Ebrahimi
- Nahal Afshar-Shahidi
- Stephanie Caruso Afshar
- Yalda Afshar
- Samira Afsharhashemkhani
- Sohrab Afshari Mirak
- Parvaneh Afshari
All providers in Los Angeles, CA · Rehabilitation Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 11, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.