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NPI Lookup from the NPI Registry — National Provider Identifier Database

JAIME E MEDVENE, PhD – NPI #1265478754
Clinical


Contact Information

JAIME E MEDVENE, PhD
17337 VENTURA BLVD
SUITE 200
ENCINO, CA91316-3903
 Phone: 818-981-7845
 Fax: 818-981-7849
 Website:
 

Specialty

Taxonomy

Clinical

103TC0700X
Indicates primary specialty
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NPI Information

NPI Number 1265478754
Credentials PhD
Entity Individual
Enumeration date 06/22/2006
Last updated 02/14/2014
Sole proprietor Yes
Identifiers
CA License # PSY13740
CA Medicaid PSY137401
Medicare PIN BK975Z
CA Medicare UPIN R80598

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