Dejesus, Daisy C
Dejesus, Daisy C is an sole proprietor health care provider with primary practice located at 43520 Division St , Lancaster CA 93535-4089. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Dejesus, Daisy C can be contacted via phone (818) 388-0093.Contact Information
Primary practice address
43520 Division St
Lancaster CA 93535-4089
Phone: (818) 388-0093
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | IMF87559 | California |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner | 225400000X | ||
Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | LMFT109995 | California |
Profile Details
NPI number | 1275878159 |
---|---|
LBN Legal business name | Dejesus, Daisy C |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 4th, 2012 |
Last updated | Nov 19th, 2018 - about 7 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1275878159 | NPPES |
California | Other | 95-2633765 | MEDI-CAL |
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