Provider Demographics
NPI:1952758070
Name:SCOTT-HAWKINS, JASMIN CORTNEY (MD, MPH)
Entity Type:Individual
Prefix:
First Name:JASMIN
Middle Name:CORTNEY
Last Name:SCOTT-HAWKINS
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:JASMIN
Other - Middle Name:CORTNEY
Other - Last Name:SCOTT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:16501 VENTURA BLVD STE 400
Mailing Address - Street 2:
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91436-2067
Mailing Address - Country:US
Mailing Address - Phone:818-849-6215
Mailing Address - Fax:818-849-6210
Practice Address - Street 1:16000 VENTURA BLVD STE 806
Practice Address - Street 2:
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91436-2759
Practice Address - Country:US
Practice Address - Phone:818-849-6215
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-18
Last Update Date:2024-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA153318174400000X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No174400000XOther Service ProvidersSpecialist