Kagzi, Mohammed Sufiyan

Kagzi, Mohammed Sufiyan is an sole proprietor health care provider with primary practice located at 204 Hampton Dr , Venice CA 90291-2623. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Kagzi, Mohammed Sufiyan can be contacted via phone (310) 396-6468.

Contact Information

Primary practice address
204 Hampton Dr Venice CA 90291-2623
Phone: (310) 396-6468
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 84502 California
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 107568 California

Profile Details

NPI number 1366937757
LBN Legal business name Kagzi, Mohammed Sufiyan
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 27th, 2018
Last updated Oct 15th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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