Elicegui, Adrian Gabriel

Elicegui, Adrian Gabriel is an sole proprietor health care provider with primary practice located at 1126 N Grand Ave Suite B, Covina CA 91724-1551. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Elicegui, Adrian Gabriel can be contacted via phone (626) 967-1667.

Contact Information

Primary practice address
1126 N Grand Ave Suite B Covina CA 91724-1551
Phone: (626) 967-1667
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X California
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW87914 California

Profile Details

NPI number 1528212461
LBN Legal business name Elicegui, Adrian Gabriel
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 5th, 2008
Last updated Feb 27th, 2019 - about 5 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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