Amaya, Blanca Estela

Amaya, Blanca Estela is an sole proprietor health care provider with primary practice located at 2311 W El Segundo Blvd , Hawthorne CA 90250-3315. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Amaya, Blanca Estela can be contacted via phone (323) 241-6730.

Contact Information

Primary practice address
2311 W El Segundo Blvd Hawthorne CA 90250-3315
Phone: (323) 241-6730
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 72077 California
Behavioral Health & Social Service Providers / Clinical 1041C0700X 88710 California

Profile Details

NPI number 1518121060
LBN Legal business name Amaya, Blanca Estela
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 14th, 2008
Last updated Mar 10th, 2021 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1518121060 NPPES
California MEDICAID W2983P

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