Walker, Jake Alexander
Walker, Jake Alexander is an sole proprietor health care provider with primary practice located at 15305 Rayen St , North Hills CA 91343-5117. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner. Behavioral Health & Social Service Providers / Marriage & Family Therapist is his primary health care specialty. Walker, Jake Alexander can be contacted via phone (818) 892-3423.Contact Information
Primary practice address
15305 Rayen St
North Hills CA 91343-5117
Phone: (818) 892-3423
Fax: (818) 893-4509
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | AMFT149818 | California |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner | 225400000X |
Profile Details
| NPI number | 1023553948 |
|---|---|
| LBN Legal business name | Walker, Jake Alexander |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 1st, 2017 |
| Last updated | Apr 2nd, 2025 - about last year |
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 | 1023553948 | NPPES |
| California | Other | #95-2633765 | MEDI-CAL |
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