West, Vaughn Jordan

West, Vaughn Jordan is an individual health care provider with primary practice located at 149 Pasadena Ave , South Pasadena CA 91030-2947. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Peer Specialist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. West, Vaughn Jordan can be contacted via phone (323) 274-3065.

Contact Information

Primary practice address
149 Pasadena Ave South Pasadena CA 91030-2947
Phone: (323) 274-3065
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1902421712
LBN Legal business name West, Vaughn Jordan
Credentials Associate of Arts (AA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2020
Last updated Jul 12th, 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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