Provider Demographics
NPI:1326604307
Name:JEFFREY R. YATES INC.
Entity Type:Organization
Organization Name:JEFFREY R. YATES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:ZIVOT
Authorized Official - Suffix:
Authorized Official - Credentials:MFT, DBH
Authorized Official - Phone:310-800-8994
Mailing Address - Street 1:133 N ALMONT DR
Mailing Address - Street 2:
Mailing Address - City:WEST HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90048-3282
Mailing Address - Country:US
Mailing Address - Phone:310-800-8994
Mailing Address - Fax:
Practice Address - Street 1:133 N ALMONT DR
Practice Address - Street 2:
Practice Address - City:WEST HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:90048-3282
Practice Address - Country:US
Practice Address - Phone:310-800-8994
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-15
Last Update Date:2019-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)