Camargo-Fernandez, Adriana Inez

Camargo-Fernandez, Adriana Inez is an sole proprietor health care provider with primary practice located at 599 S. Baranca Suitel104, Covina CA 91722. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Camargo-Fernandez, Adriana Inez can be contacted via phone (562) 544-4974.

Contact Information

Primary practice address
599 S. Baranca Suitel104 Covina CA 91722
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY14867 California

Profile Details

NPI number 1538361753
LBN Legal business name Camargo-Fernandez, Adriana Inez
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 1st, 2007
Last updated Jul 8th, 2007 - about 17 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 1538361753 NPPES
California MEDICAID PSY148670

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