Cusumano, Amy
Cusumano, Amy is an sole proprietor health care provider with primary practice located at 3151 Airway Ave D-1, Costa Mesa CA 92626-4607. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Cusumano, Amy can be contacted via phone (714) 957-8229.Contact Information
Primary practice address
3151 Airway Ave D-1
Costa Mesa CA 92626-4607
Phone: (714) 957-8229
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | C4970811 | California |
Profile Details
| NPI number | 1013390848 |
|---|---|
| LBN Legal business name | Cusumano, Amy |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 29th, 2015 |
| Last updated | Jun 29th, 2015 - about 9 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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