Barraza, Michael

Barraza, Michael is an sole proprietor health care provider with primary practice located at 4060 Watson Plaza Dr , Lakewood CA 90712-4033. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Barraza, Michael can be contacted via phone (562) 420-6325.

Contact Information

Primary practice address
4060 Watson Plaza Dr Lakewood CA 90712-4033
Phone: (562) 420-6325
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY 23994 California

Profile Details

NPI number 1174641302
LBN Legal business name Barraza, Michael
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 26th, 2007
Last updated Jun 13th, 2012 - about 12 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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