Provider Demographics
NPI:1336923374
Name:UNITED STATES VETERANS INITIATIVE
Entity Type:Organization
Organization Name:UNITED STATES VETERANS INITIATIVE
Other - Org Name:U.S.VETS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL BILLING PROJECT COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:R
Authorized Official - Last Name:JACKSON-ZENO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:213-760-4630
Mailing Address - Street 1:800 W 6TH ST STE 1505
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90017-2742
Mailing Address - Country:US
Mailing Address - Phone:213-760-4630
Mailing Address - Fax:
Practice Address - Street 1:800 W 6TH ST STE 1505
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90017-2742
Practice Address - Country:US
Practice Address - Phone:213-760-4630
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-21
Last Update Date:2023-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management
No261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness
No324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility