Beliz, Efrain Antonio

Beliz, Efrain Antonio is an sole proprietor health care provider with primary practice located at 16055 Ventura Blvd Suite 500, Encino CA 91436-2601. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Forensic, Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Beliz, Efrain Antonio can be contacted via phone (818) 204-8139.

Contact Information

Primary practice address
16055 Ventura Blvd Suite 500 Encino CA 91436-2601
Phone: (818) 204-8139
Fax: (818) 885-8598
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY9441 California
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PSY9441 California
Behavioral Health & Social Service Providers / Forensic 103TF0200X PSY9441 California
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X PSY9441 California

Profile Details

NPI number 1932314937
LBN Legal business name Beliz, Efrain Antonio
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 11th, 2007
Last updated Jul 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932314937 NPPES
California MEDICAID PX0094410

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