Hyatt, Brandon

Hyatt, Brandon is an individual health care provider with primary practice located at 263 27Th Court , Hermosa Beach CA 90254. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Hyatt, Brandon can be contacted via phone (310) 245-4127.

Contact Information

Primary practice address
263 27Th Court Hermosa Beach CA 90254
Phone: (310) 245-4127
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X

Profile Details

NPI number 1043408420
LBN Legal business name Hyatt, Brandon
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2007
Last updated Sep 4th, 2013 - about 11 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 1043408420 NPPES
California MEDICAID 7484

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