Deffenbaugh, Shawn

Deffenbaugh, Shawn is an individual health care provider with primary practice located at 7101 Baird Ave , Reseda CA 91335-4150. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Student, Health Care / Student in an Organized Health Care Education/Training Program is his primary health care specialty. Deffenbaugh, Shawn can be contacted via phone (818) 342-5897.

Contact Information

Primary practice address
7101 Baird Ave Reseda CA 91335-4150
Phone: (818) 342-5897
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X California
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X R1322800918 California

Profile Details

NPI number 1285269761
LBN Legal business name Deffenbaugh, Shawn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 2020
Last updated Dec 17th, 2020 - about 4 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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