Dungeon Sr., Herb L.

Dungeon Sr., Herb L. is an individual health care provider with primary practice located at 2523 El Portal Dr. , San Pablo CA 94806. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Dungeon Sr., Herb L. can be contacted via phone (510) 374-7500.

Contact Information

Primary practice address
2523 El Portal Dr. San Pablo CA 94806
Phone: (510) 374-7500
Fax: (510) 374-7504
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1619019635
LBN Legal business name Dungeon Sr., Herb L.
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 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 1619019635 NPPES
California Other D3036060 DR. LIC.

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