Joshua Javedanfar | Los Angeles, CA • PECOS Search

Joshua Javedanfar

Marriage & Family Therapist

Behavioral Health & Social Service Providers

10650 Kinnard Ave Apt 103, Los Angeles, CA 90024-5987

PECOS Enrollment

Based on the most recent information from CMS, provider Joshua Javedanfar does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1154897049
Provider Type
Individual
Full Name
Javedanfar, Joshua
Title
Mr.
Credential
LMFT 139761

Gender
Male
Sole Proprietor
No
Enumeration Date
10/17/2018
Last Updated
7/13/2023

Contact Information

Practice Location

10650 Kinnard Ave Apt 103, Los Angeles, CA 90024-5987

Unlisted Fax

Mailing Location

10650 Kinnard Ave Apt 103, Los Angeles, CA 90024-5987

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 106H00000X Primary	Description Marriage & Family Therapist Behavioral Health & Social Service Providers	License 139761 California