Skip Navigation Link. Please press insert + down arrow if jaws does not start reading the content.

Provider Information for 1902353964


The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

JESHURUN JOSEPH LCSW


Sex: Male

NPI: 1902353964
Last Updated: 2022-10-13
Certification Date: 2022-10-13

Details

NameValue
NPI1902353964
Enumeration Date2016-09-07
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 11601 S WESTERN AVE
LOS ANGELES, CA 90047-5006
United States

Phone: 323-242-5000 | Fax:
 
Primary Practice Address 11601 S WESTERN AVE
LOS ANGELES, CA 90047-5006
United States

Phone: 323-242-5000 | Fax:
 
Secondary Practice Address(es)

2046 ALLEN AVE RM 100
ALTADENA, CA 91001-3424
United States

Phone: 626-396-5920 | Fax:
 

8019 COMPTON AVE
LOS ANGELES, CA 90001-3409
United States

Phone: 323-586-7333 | Fax:
 

3031 S VERMONT AVE
LOS ANGELES, CA 90007-3033
United States

Phone: 323-373-2400 | Fax:
 

5054 S VERMONT AVE
LOS ANGELES, CA 90037-2946
United States

Phone: 323-373-2444 | Fax:
 

Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 101YM0800X - Counselor - Mental HealthCA77934
No 390200000X - Student in an Organized Health Care Education/Training Program
Yes 1041C0700X - Social Worker - ClinicalCA95680