Defraine, Carla S

Defraine, Carla S is an sole proprietor health care provider with primary practice located at 13441 Rancho Santa Margarita Parkway Suite B, Rancho Santa Margarita CA 92688. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Defraine, Carla S can be contacted via phone (949) 709-7091.

Contact Information

Primary practice address
13441 Rancho Santa Margarita Parkway Suite B Rancho Santa Margarita CA 92688
Phone: (949) 709-7091
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY21319 California

Profile Details

NPI number 1689890097
LBN Legal business name Defraine, Carla S
Credentials PD.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 17th, 2007
Last updated Jul 8th, 2007 - about 17 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 1689890097 NPPES
California Other PSY21319 CALIF LIC

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