Jacqueline Florian | Los Angeles, CA • PECOS Search

Jacqueline Florian

Marriage & Family Therapist

Behavioral Health & Social Service Providers

3756 Santa Rosalia Dr Ste 628, Los Angeles, CA 90008-3606

(323) 293-8771 (213) 245-8602

PECOS Enrollment

Based on the most recent information from CMS, provider Jacqueline Florian 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
1669006334
Provider Type
Individual
Full Name
Florian, Jacqueline
Gender
Female

Sole Proprietor
No
Enumeration Date
3/2/2020
Last Updated
3/2/2020

Contact Information

Practice Location

3756 Santa Rosalia Dr Ste 628, Los Angeles, CA 90008-3606

Unlisted Fax

Mailing Location

3775 1/2 2nd Ave, Los Angeles, CA 90018-4306

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 106H00000X Primary	Description Marriage & Family Therapist Behavioral Health & Social Service Providers	License AMFT117829 California