Chamkrachang, Rina

Chamkrachang, Rina is an sole proprietor health care provider with primary practice located at 15317 Rayen St , North Hills CA 91343-5117. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Chamkrachang, Rina can be contacted via phone (818) 892-4323.

Contact Information

Primary practice address
15317 Rayen St North Hills CA 91343-5117
Fax: (818) 893-4509
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1962784678
LBN Legal business name Chamkrachang, Rina
Credentials ASW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 20th, 2011
Last updated Sep 20th, 2011 - about 14 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 1962784678 NPPES
California Other 95-2633765 MEDI-CAL

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