Gavidia, Rafael

Gavidia, Rafael is an individual health care provider with primary practice located at 10929 South St Suite #208B, Cerritos CA 90703-5340. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Gavidia, Rafael can be contacted via phone (562) 924-5526.

Contact Information

Primary practice address
10929 South St Suite #208B Cerritos CA 90703-5340
Phone: (562) 924-5526
Fax: (562) 924-1040
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X ASW73379 California

Profile Details

NPI number 1649400979
LBN Legal business name Gavidia, Rafael
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2009
Last updated Sep 21st, 2016 - about 9 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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