Provider Demographics
NPI:1336509322
Name:WASHINGTON & ASSOCIATES
Entity Type:Organization
Organization Name:WASHINGTON & ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DEIRDRE
Authorized Official - Middle Name:
Authorized Official - Last Name:WASHINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:818-419-6659
Mailing Address - Street 1:10061 RIVERSIDE DR
Mailing Address - Street 2:SUITE 409
Mailing Address - City:TOLUCA LAKE
Mailing Address - State:CA
Mailing Address - Zip Code:91602-2560
Mailing Address - Country:US
Mailing Address - Phone:818-419-6659
Mailing Address - Fax:818-559-9571
Practice Address - Street 1:2600 W OLIVE AVE
Practice Address - Street 2:SUITE 536
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91505-4549
Practice Address - Country:US
Practice Address - Phone:818-419-6659
Practice Address - Fax:818-559-9571
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-03
Last Update Date:2016-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA72336332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies