Individual provider · Type 1 NPI

Jennifer Sarah Zidow

Community/Behavioral Health Agency · Los Angeles, CA

NPI number 1740534858 Active

Practice location

1770 E 118th St
Los Angeles, CA 90059-2518

Call (323) 249-2950 Map

Fax (323) 249-2970

Mailing address

3737 Martin Luther King Jr Blvd, 550
Lynwood, CA 90262-3513

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000X191593453 (CA)

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1740534858

Jennifer Sarah Zidow's National Provider Identifier is 1740534858, issued on Oct 29, 2012. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Los Angeles, CA. The record was last updated on Oct 29, 2012.