Anthony N Hatam, PH.D.
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · West Hills, CA
NPI 1962850834 · NPPES record last updated Jun 1, 2016
Key facts
- NPI
- 1962850834
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 970143 (CA)
- Practice address
- 7635 Fallbrook Ave
West Hills, CA 91304-3651 - Phone
- (818) 482-0175
- NPI assigned
- Jun 1, 2016
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 970143 | CA | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 970143 | CA | Yes |
Addresses
Primary practice location
7635 Fallbrook Ave
West Hills, CA 91304-3651
Mailing address
7635 Fallbrook Ave
West Hills, CA 91304-3651
Phone (818) 482-0175
Other providers in West Hills, CA
- Ethan Qilong Han
- Hand Therapy
- Hanita Sidana, DMD, Inc.
- Robert Kevin Hanson
- Mersedeh Hashemian
- Ramin R Hatami
- Healing Minds Inc
- Healing Touch Physical Therapy & Fitness
- Health Care Partners, Inc.
- Healthmed Center, LLC
All providers in West Hills, CA · Addiction (Substance Use Disorder) Counselor in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 1, 2016. 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.