De Llano, Carmen
De Llano, Carmen is an sole proprietor health care provider with primary practice located at 815 3Rd Ave Ste 107 , Chula Vista CA 91911-1308. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. De Llano, Carmen can be contacted via phone (619) 584-6299.Contact Information
Primary practice address
815 3Rd Ave Ste 107
Chula Vista CA 91911-1308
Phone: (619) 584-6299
Fax: (833) 262-7523
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 11154 | California |
Profile Details
| NPI number | 1992752406 |
|---|---|
| LBN Legal business name | De Llano, Carmen |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 28th, 2006 |
| Last updated | May 20th, 2024 - about last year |
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 | 1992752406 | NPPES |
| California | MEDICAID | PSY 11154/1 | |
| California | Other | 11154 |
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