Bruno, Jim

Bruno, Jim is an individual health care provider with primary practice located at 3125 E 7Th St , Long Beach CA 90804-4932. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Bruno, Jim can be contacted via phone (562) 987-5742.

Contact Information

Primary practice address
3125 E 7Th St Long Beach CA 90804-4932
Phone: (562) 987-5742
Fax: (562) 987-4586
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1780870436
LBN Legal business name Bruno, Jim
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 17th, 2007
Last updated Sep 17th, 2007 - about 18 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 1780870436 NPPES
California MEDICAID 190077AHN

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