Provider Demographics
NPI:1457637381
Name:JASS, CESAR
Entity Type:Individual
Prefix:MR
First Name:CESAR
Middle Name:
Last Name:JASS
Suffix:
Gender:M
Credentials:
Other - Prefix:MR
Other - First Name:CESAR
Other - Middle Name:
Other - Last Name:SANCHEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MFTI
Mailing Address - Street 1:6510 LA MIRADA AVE APT 305
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90038-1465
Mailing Address - Country:US
Mailing Address - Phone:310-346-1019
Mailing Address - Fax:310-715-2705
Practice Address - Street 1:108 W VICTORIA ST
Practice Address - Street 2:
Practice Address - City:GARDENA
Practice Address - State:CA
Practice Address - Zip Code:90248-3523
Practice Address - Country:US
Practice Address - Phone:310-715-2020
Practice Address - Fax:310-715-2705
Is Sole Proprietor?:No
Enumeration Date:2011-10-24
Last Update Date:2013-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner