Individual
JEANNINE DEHARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7745 LEEDS ST, DOWNEY, CA 90242-3489
(310) 221-6336
Mailing address
7745 LEEDS ST, DOWNEY, CA 90242-3489
(310) 221-6336
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
42894
CA
167G00000X
Licensed Psychiatric Technician
Primary
42894
CA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1487916755
—
CA
Enumeration date
08/20/2021
Last updated
10/14/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us