Estrada, Hector Hernandez

Estrada, Hector Hernandez is an individual health care provider with primary practice located at 2055 Kellogg Ave # 210 , Corona CA 92879-3111. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Estrada, Hector Hernandez can be contacted via phone (951) 248-4000.

Contact Information

Primary practice address
2055 Kellogg Ave # 210 Corona CA 92879-3111
Fax: (951) 898-7401
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW89598 California

Profile Details

NPI number 1972634699
LBN Legal business name Estrada, Hector Hernandez
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2007
Last updated Dec 6th, 2021 - about 3 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 1972634699 NPPES
California Other LCSW89598 CALIFORNIA BOARD OF BEHAVIORAL SCIENCES

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