Edwards, Roccoya Octavia
Edwards, Roccoya Octavia is an sole proprietor health care provider with primary practice located at 12021 Wilmington Ave Ste 102 , Los Angeles CA 90059-3019. She recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as her primary health care specialty. Edwards, Roccoya Octavia can be contacted via phone (424) 454-6001.Contact Information
Primary practice address
12021 Wilmington Ave Ste 102
Los Angeles CA 90059-3019
Phone: (424) 454-6001
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility | 324500000X |
Profile Details
NPI number | 1750074886 |
---|---|
LBN Legal business name | Edwards, Roccoya Octavia |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 2nd, 2023 |
Last updated | Jun 2nd, 2023 - 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.
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