Fernandez, Luis

Fernandez, Luis is an sole proprietor health care provider with primary practice located at 6666 Green Valley Cir , Culver City CA 90230-7068. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is his primary health care specialty. Fernandez, Luis can be contacted via phone (323) 846-5270.

Contact Information

Primary practice address
6666 Green Valley Cir Culver City CA 90230-7068
Phone: (323) 846-5270
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1932328804
LBN Legal business name Fernandez, Luis
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 25th, 2007
Last updated Jul 21st, 2022 - about 2 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 1932328804 NPPES
California MEDICAID 7006

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