Bogorad, Barbara Ellen
Bogorad, Barbara Ellen is an sole proprietor health care provider with primary practice located at 18600 Main St , Huntington Beach CA 92648. She recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as her primary health care specialty. Bogorad, Barbara Ellen can be contacted via phone (714) 914-0409.Contact Information
Primary practice address
18600 Main St
Huntington Beach CA 92648
Phone: (714) 914-0409
Fax: (714) 827-9497
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Counseling | 103TC1900X | PSY 19154 | California |
Profile Details
NPI number | 1790705689 |
---|---|
LBN Legal business name | Bogorad, Barbara Ellen |
Credentials | PSYD. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 20th, 2006 |
Last updated | Apr 20th, 2022 - about 2 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1790705689 | NPPES |
New York | MEDICAID | 01064891 | |
New York | Other | 11584463 |
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