Congo, David George
Congo, David George is an individual health care provider with primary practice located at 23441 S Pointe Dr Ste 180 , Laguna Hills CA 92653-1550. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Congo, David George can be contacted via phone (949) 452-9294.Contact Information
Primary practice address
23441 S Pointe Dr Ste 180
Laguna Hills CA 92653-1550
Phone: (949) 452-9294
Fax: (949) 452-0296
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY13161 | California |
Profile Details
NPI number | 1316155716 |
---|---|
LBN Legal business name | Congo, David George |
Credentials | PSY.D. |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 18th, 2007 |
Last updated | Jul 8th, 2007 - about 18 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 | 1316155716 | NPPES |
California | Other | PSY13161 | PSYCHOLOGIST'S LICENSE # |
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