Badeaux, Joel Alan
Badeaux, Joel Alan is an individual health care provider with primary practice located at 5039 Westslope Ln , La Canada Flintridge CA 91011-2766. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Badeaux, Joel Alan can be contacted via phone (323) 487-0874.Contact Information
Primary practice address
5039 Westslope Ln
La Canada Flintridge CA 91011-2766
Phone: (323) 487-0874
Fax: (323) 928-2485
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | A115633 | California |
Profile Details
| NPI number | 1992953517 |
|---|---|
| LBN Legal business name | Badeaux, Joel Alan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 8th, 2008 |
| Last updated | Jun 29th, 2023 - about last year |
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 | 1992953517 | NPPES |
| California | Other | ZZZ92069Z | COUNTY OF SANTA CRUZ MEDICARE GROUP PTAN# |
| California | Other | FHC70042F, FHC70044 | COUNTY OF SANTA CRUZ MEDICARE GROUP PTAN# |
| California | Other | ZZZ91892ZZ | COUNTY OF SANTA CRUZ MEDICARE GROUP PTAN# |
| California | Other | ZZZ91891Z | COUNTY OF SANTA CRUZ MEDICARE GROUP PTAN# |
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