Provider Demographics
NPI:1972992378
Name:NAVI, JAUNTY
Entity type:Individual
Prefix:MISS
First Name:JAUNTY
Middle Name:
Last Name:NAVI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5800 HANNUM AVE STE 105
Mailing Address - Street 2:
Mailing Address - City:CULVER CITY
Mailing Address - State:CA
Mailing Address - Zip Code:90230-6553
Mailing Address - Country:US
Mailing Address - Phone:310-410-9504
Mailing Address - Fax:
Practice Address - Street 1:5800 HANNUM AVE STE 105
Practice Address - Street 2:
Practice Address - City:CULVER CITY
Practice Address - State:CA
Practice Address - Zip Code:90230-6553
Practice Address - Country:US
Practice Address - Phone:310-410-9504
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-01-22
Last Update Date:2019-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT95934106H00000X
CA95934106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist