Arevalo, Luis Ernesto

Arevalo, Luis Ernesto is an sole proprietor health care provider with primary practice located at 1745 W Orangewood Ave Ste 101 , Orange CA 92868-2041. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Arevalo, Luis Ernesto can be contacted via phone (714) 639-1933.

Contact Information

Primary practice address
1745 W Orangewood Ave Ste 101 Orange CA 92868-2041
Fax: (909) 596-2548
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY10821 California

Profile Details

NPI number 1578513073
LBN Legal business name Arevalo, Luis Ernesto
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 12th, 2006
Last updated Jul 29th, 2014 - about 10 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 1578513073 NPPES
California MEDICAID PSY108210

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