Betancourt, Richard

Betancourt, Richard is an individual health care provider with primary practice located at 18646 Oxnard St , Tarzana CA 91356-1411. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Student, Health Care / Student in an Organized Health Care Education/Training Program. Student, Health Care / Student in an Organized Health Care Education/Training Program is his primary health care specialty. Betancourt, Richard can be contacted via phone (818) 996-1051.

Contact Information

Primary practice address
18646 Oxnard St Tarzana CA 91356-1411
Phone: (818) 996-1051
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1770702771
LBN Legal business name Betancourt, Richard
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2007
Last updated Jan 11th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770702771 NPPES
California MEDICAID 7006

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