Avshalomov, Randi L
Avshalomov, Randi L is an sole proprietor health care provider with primary practice located at 4026 Peck Rd , El Monte CA 91732-2247. 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. Avshalomov, Randi L can be contacted via phone (626) 444-0539.Contact Information
Primary practice address
4026 Peck Rd
El Monte CA 91732-2247
Phone: (626) 444-0539
Fax: (626) 444-7990
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | MFC13289 | California |
Profile Details
| NPI number | 1366566697 |
|---|---|
| LBN Legal business name | Avshalomov, Randi L |
| Credentials | MA, MFT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 19th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1366566697 | NPPES |
| California | Other | GRA0721 | STAFF CODE |
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