Provider Demographics
NPI:1205142379
Name:HJTT OF WASHINGTON
Entity type:Organization
Organization Name:HJTT OF WASHINGTON
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR/GOVERNMENT WRITER
Authorized Official - Prefix:MS
Authorized Official - First Name:RAHIL
Authorized Official - Middle Name:
Authorized Official - Last Name:AL-SAKHI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:213-446-7907
Mailing Address - Street 1:6710 CARLETON AVE S UNIT A
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98108-3557
Mailing Address - Country:US
Mailing Address - Phone:213-446-7907
Mailing Address - Fax:
Practice Address - Street 1:1111 S FIGUEROA ST
Practice Address - Street 2:LAKER'S CONFERENCE ROOM
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90015-1300
Practice Address - Country:US
Practice Address - Phone:213-446-7907
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-26
Last Update Date:2010-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive CareGroup - Single Specialty
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoralGroup - Single Specialty
No172V00000XOther Service ProvidersCommunity Health WorkerGroup - Single Specialty
No174H00000XOther Service ProvidersHealth EducatorGroup - Single Specialty
No175F00000XOther Service ProvidersNaturopathGroup - Single Specialty
No251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA=========Medicaid