Back-Madruga, Carla
Back-Madruga, Carla is an sole proprietor health care provider with primary practice located at 8055 W Manchester Ave Suite 235, Playa Del Rey CA 90293-7960. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as her primary health care specialty. Back-Madruga, Carla can be contacted via phone (319) 827-9851.Contact Information
Primary practice address
8055 W Manchester Ave Suite 235
Playa Del Rey CA 90293-7960
Phone: (319) 827-9851
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | PSY14950 | California |
Profile Details
| NPI number | 1073940086 |
|---|---|
| LBN Legal business name | Back-Madruga, Carla |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 4th, 2013 |
| Last updated | Oct 4th, 2013 - about 11 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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