Burciaga, Henry

Burciaga, Henry is an individual health care provider with primary practice located at 14700 Manzanita Rd , Beaumont CA 92223-3026. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Burciaga, Henry can be contacted via phone (951) 845-3155.

Contact Information

Primary practice address
14700 Manzanita Rd Beaumont CA 92223-3026
Phone: (951) 845-3155
Fax: (951) 845-8412
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MFC19940 California
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MFT19940 California

Profile Details

NPI number 1487785705
LBN Legal business name Burciaga, Henry
Credentials Marriage and Family Therapist (MFT)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2007
Last updated Apr 2nd, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1487785705 NPPES
California MEDICAID 00007300

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