Betancourt, Petra

Betancourt, Petra is an sole proprietor health care provider with primary practice located at 11565 Laurel Canyon Blvd. Suite #116, Mission Hills CA 91430. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Betancourt, Petra can be contacted via phone (818) 361-5030.

Contact Information

Primary practice address
11565 Laurel Canyon Blvd. Suite #116 Mission Hills CA 91430
Phone: (818) 361-5030
Fax: (818) 361-1764
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 84544 California

Profile Details

NPI number 1194900027
LBN Legal business name Betancourt, Petra
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 9th, 2008
Last updated Dec 3rd, 2018 - about 6 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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