Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jamar Ephform

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1740002880

Jamar Ephform is an Addiction (Substance Use Disorder) Counselor in San Pedro, California. Licensed in California. Registered with an NPI since 2024.

Licensed in
CA
In the registry since
2024

Practice location Address checks out

505 S Pacific Ave
San Pedro, CA 90731-2656
Phone: (310) 519-8723
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 24968 (CA)

Record details

NPI number1740002880
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 29, 2024
Last updated in NPPESOctober 29, 2024
Certification dateOctober 29, 2024
Mailing address376 W 15th St, San Pedro, CA 90731-4806

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