Chagolla, Daniel

Chagolla, Daniel is an sole proprietor health care provider with primary practice located at 18612 Santa Ana Ave , Bloomington CA 92316-2636. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Chagolla, Daniel can be contacted via phone (909) 421-7120.

Contact Information

Primary practice address
18612 Santa Ana Ave Bloomington CA 92316-2636
Phone: (909) 421-7120
Fax: (909) 421-7128
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1366632754
LBN Legal business name Chagolla, Daniel
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 31st, 2007
Last updated Jul 31st, 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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