Citron, Gary Alan

Citron, Gary Alan is an sole proprietor health care provider with primary practice located at 1826 S Elena Ave Ste D , Redondo Beach CA 90277-5718. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Citron, Gary Alan can be contacted via phone (310) 259-5064.

Contact Information

Primary practice address
1826 S Elena Ave Ste D Redondo Beach CA 90277-5718
Phone: (310) 259-5064
Fax: (714) 529-8570
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY12588 California

Profile Details

NPI number 1427088277
LBN Legal business name Citron, Gary Alan
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 4th, 2006
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 1427088277 NPPES
California MEDICAID PSY125880

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