Most Relevant Information
Provider Data
| NPI Number: | 1003399874 |
| Provider Name: | AYAT MADI |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/07/2018 |
| Last Updated: | 08/04/2021 |
Provider Practice Location
3939 ATLANTIC AVE STE 103
LONG BEACH
CA
908073529
Practice Location Phone/Fax
| Phone: | 5622646001 |
| Fax: |
Provider Mailing Location
447 N EL MOLINO AVE
PASADENA
CA
911011403
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |