Iglesias, Luis Raul

Iglesias, Luis Raul is an individual health care provider with primary practice located at 1001 Sneath Ln Ste 210 , San Bruno CA 94066-2349. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Iglesias, Luis Raul can be contacted via phone (650) 244-1445.

Contact Information

Primary practice address
1001 Sneath Ln Ste 210 San Bruno CA 94066-2349
Phone: (650) 244-1445
Fax: (650) 763-2366
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X California

Profile Details

NPI number 1013426022
LBN Legal business name Iglesias, Luis Raul
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2017
Last updated Jun 28th, 2018 - about 6 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 1013426022 NPPES
California Other 101YA0400X COUNSELOR

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