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
Phone: (714) 639-1933
Fax: (909) 596-2548
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578513073 | NPPES |
| California | MEDICAID | PSY108210 |
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