Taynton, Jeffrey
Taynton, Jeffrey is an sole proprietor health care provider with primary practice located at 205 Pasadena Ave , South Pasadena CA 91030-2919. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is his primary health care specialty. Taynton, Jeffrey can be contacted via phone (323) 344-5536.Contact Information
Primary practice address
205 Pasadena Ave
South Pasadena CA 91030-2919
Phone: (323) 344-5536
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | PCCI 2356 | California |
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | LMFT109665 | California |
Profile Details
| NPI number | 1104299015 |
|---|---|
| LBN Legal business name | Taynton, Jeffrey |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 2nd, 2015 |
| Last updated | Oct 1st, 2018 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104299015 | NPPES |
| California | Other | 7368 | MEDI-CAL |
| California | Other | 7708 | MEDI-CAL |
| California | Other | 7184 | MEDI-CAL |
| California | Other | 7667 | MEDI-CAL |
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