Cristantiello, Philip
Cristantiello, Philip is an individual health care provider with primary practice located at 16730 Arrow Blvd , Fontana CA 92335-3802. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Cristantiello, Philip can be contacted via phone (909) 854-4020.Contact Information
Primary practice address
16730 Arrow Blvd
Fontana CA 92335-3802
Phone: (909) 854-4020
Fax: (909) 854-4091
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
NPI number | 1881883668 |
---|---|
LBN Legal business name | Cristantiello, Philip |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 17th, 2007 |
Last updated | Oct 17th, 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 | 1881883668 | NPPES |
California | MEDICAID | 5555 |
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