Andrade, Guadalupe
Andrade, Guadalupe is an sole proprietor health care provider with primary practice located at 5723 Whittier Blvd , Los Angeles CA 90022-4222. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Andrade, Guadalupe can be contacted via phone (323) 721-6855.Contact Information
Primary practice address
5723 Whittier Blvd
Los Angeles CA 90022-4222
Phone: (323) 721-6855
Fax: (323) 721-8631
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1164777959 |
|---|---|
| LBN Legal business name | Andrade, Guadalupe |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 17th, 2012 |
| Last updated | Jul 17th, 2012 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164777959 | NPPES |
| Other | 104525 | AOD SPECIALIST |
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