Alvarez, Ivan Dejesus
Alvarez, Ivan Dejesus is an sole proprietor health care provider with primary practice located at 425 W Central Ave Ste 101A , Lompoc CA 93436-2806. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities. Behavioral Health & Social Service Providers / School is his primary health care specialty. Alvarez, Ivan Dejesus can be contacted via phone (805) 741-7668.Contact Information
Primary practice address
425 W Central Ave Ste 101A
Lompoc CA 93436-2806
Phone: (805) 741-7668
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / School | 103TS0200X | 210009309 | California |
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities | 103TM1800X | 3516 | California |
Profile Details
NPI number | 1265137004 |
---|---|
LBN Legal business name | Alvarez, Ivan Dejesus |
Credentials | SCHOOL PSYCHOLOGIST |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 3rd, 2023 |
Last updated | Apr 3rd, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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