Individual provider · Type 1 NPI

Jordan Ashanti Ruvenest Slaffey

Rehabilitation Practitioner · Los Angeles, CA

NPI number 1407644594 Active

Practice location

470 E 3rd St Ste C
Los Angeles, CA 90013-1630

Call (213) 620-5712 Map

Fax (213) 621-4155

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XSUDRC18608 (CA)
Medical Physician Assistant 363AM0700XNone listed
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1407644594

Jordan Ashanti Ruvenest Slaffey's National Provider Identifier is 1407644594, issued on Apr 28, 2025. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Los Angeles, CA. The record was last updated on Mar 25, 2026.