Jose Domingo Echeverria
Day Training/Habilitation Specialist in Los Angeles, CA. Individual provider (NPI-1).
NPI number1982303046
StatusActive
Last updated in NPPESMay 20, 2025
Details
- NPI
- 1982303046
- Entity type
- Individual (NPI-1)
- Name
- Jose Domingo Echeverria
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 27, 2023
- Certification date
- May 20, 2025
- Last updated
- May 20, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 373H00000X | Day Training/Habilitation Specialist | – | – | Yes |
| 172V00000X | Community Health Worker | – | – |
Practice location
3303 N Broadway Fl 3Los Angeles, CA 90031-2803
Phone 323-478-8200
Mailing address
3303 N Broadway Fl 3Los Angeles, CA 90031-2803
Phone 323-478-8200
Other practice locations
3303 N Broadway Fl 3
Los Angeles, CA 90031-2803
Los Angeles, CA 90031-2803
Phone 323-478-8200
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