Barraza, Ernest

Barraza, Ernest is an sole proprietor health care provider with primary practice located at 12164 Shy St , Norwalk CA 90650-1868. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Barraza, Ernest can be contacted via phone (626) 622-5845.

Contact Information

Primary practice address
12164 Shy St Norwalk CA 90650-1868
Phone: (626) 622-5845
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1396014726
LBN Legal business name Barraza, Ernest
Credentials CADC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 13th, 2011
Last updated Feb 20th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396014726 NPPES
California MEDICAID 7006

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