Provider Demographics
NPI:1669003018
Name:ALGAZI, ATHENAS
Entity Type:Individual
Prefix:
First Name:ATHENAS
Middle Name:
Last Name:ALGAZI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ATENAS
Other - Middle Name:
Other - Last Name:ALGAZI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:8716 1/2 HOLLOWAY DR
Mailing Address - Street 2:
Mailing Address - City:WEST HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90069-2306
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8399 TOPANGA CANYON BLVD
Practice Address - Street 2:
Practice Address - City:WEST HILLS
Practice Address - State:CA
Practice Address - Zip Code:91304-2354
Practice Address - Country:US
Practice Address - Phone:818-448-4403
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-03
Last Update Date:2020-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health