Audoma, Kristal Alexis
Audoma, Kristal Alexis is an sole proprietor health care provider with primary practice located at 5300 Angeles Vista Blvd , View Park CA 90043-1648. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Audoma, Kristal Alexis can be contacted via phone (323) 295-4555.Contact Information
Primary practice address
5300 Angeles Vista Blvd
View Park CA 90043-1648
Phone: (323) 295-4555
Fax: (323) 508-0150
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 50388 | California |
Profile Details
| NPI number | 1093838500 |
|---|---|
| LBN Legal business name | Audoma, Kristal Alexis |
| Credentials | LMFT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 9th, 2007 |
| Last updated | Feb 14th, 2022 - 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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