Cardenas, Yadira
Cardenas, Yadira is an sole proprietor health care provider with primary practice located at 1511 W Garvey Ave N , West Covina CA 91790-2138. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Cardenas, Yadira can be contacted via phone (626) 960-4844.Contact Information
Primary practice address
1511 W Garvey Ave N
West Covina CA 91790-2138
Phone: (626) 960-4844
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LCSW71557 | California |
Profile Details
| NPI number | 1710164892 |
|---|---|
| LBN Legal business name | Cardenas, Yadira |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 30th, 2008 |
| Last updated | Nov 30th, 2021 - about 3 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 | 1710164892 | NPPES |
| California | MEDICAID | 101YM0800X | |
| California | MEDICAID | 95-1946482 |
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