Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JIMMY LEE GAFFENEY JR.
Active Sole ProprietorMR. JIMMY LEE GAFFENEY JR. is a Substance Abuse Rehabilitation Facility healthcare provider located in LOS ANGELES, California. NPI 1588391346 is currently active in the NPPES registry. Verify at CMS.
Substance Abuse Rehabilitation Facility · LOS ANGELES, CA
Registration Details
- NPI Number
- 1588391346
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 2, 2022 (4.0655658284761 yrs)
- Last Updated
- Aug 2, 2022
- Sole Proprietor
- Yes
Practice Information
- Address
-
5318 CRENSHAW BLVDLOS ANGELES, CA, 900431810Browse CA providers · Browse ZIP 90043
- Phone
- 3232936291
- Fax
- 3232931091
- Primary Specialty
-
Substance Abuse Rehabilitation Facility
324500000X
Other Substance Abuse Rehabilitation Facility Providers in LOS ANGELES, CA
| Name | Credential | NPI |
|---|---|---|
| BRITTON DERBY | MFTI | 1730545807 |
| MARCIA REDDY | — | 1568824282 |
| NANCY LANDIS HOCHBERGER | MFT | 1215388780 |
| CONGA SMITH | — | 1487108916 |
| BYRON VELA GONZALES | — | 1417494576 |
| CAREY E. CAMPBELL | CADC-CAS #C7291214 | 1811435431 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.