Cecil, Justin
Cecil, Justin is an sole proprietor health care provider with primary practice located at 3881 S Western Ave , Los Angeles CA 90062-1105. 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 / Social Worker. Behavioral Health & Social Service Providers / Social Worker is his primary health care specialty. Cecil, Justin can be contacted via phone (323) 290-4357.Contact Information
Primary practice address
3881 S Western Ave
Los Angeles CA 90062-1105
Phone: (323) 290-4357
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner | 225400000X | ||
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | ASW122710 | California |
Profile Details
| NPI number | 1710667241 |
|---|---|
| LBN Legal business name | Cecil, Justin |
| Credentials | MSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 19th, 2023 |
| Last updated | Jun 4th, 2024 - about last year |
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 | 1710667241 | NPPES |
| California | Other | 95-2633765 | MEDICAL |
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