Cacciotti, Sergio L

Cacciotti, Sergio L is an individual health care provider with primary practice located at 204 Hampton Dr , Venice CA 90291-2623. He 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 / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Cacciotti, Sergio L can be contacted via phone (310) 396-6468.

Contact Information

Primary practice address
204 Hampton Dr Venice CA 90291-2623
Phone: (310) 396-6468
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X California

Profile Details

NPI number 1932757416
LBN Legal business name Cacciotti, Sergio L
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2019
Last updated Dec 11th, 2020 - about 5 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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