Davis, Randall B

Davis, Randall B is an sole proprietor health care provider with primary practice located at 1101 California Ave Ste 100 , Corona CA 92881-6472. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Davis, Randall B can be contacted via phone (951) 736-8193.

Contact Information

Primary practice address
1101 California Ave Ste 100 Corona CA 92881-6472
Phone: (951) 736-8193
Fax: (888) 388-0170
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 19383 California

Profile Details

NPI number 1124054119
LBN Legal business name Davis, Randall B
Credentials LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 23rd, 2006
Last updated Dec 12th, 2018 - about 6 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 1124054119 NPPES
California Other 19383 MFC

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