Isetta, Vanessa Diane

Isetta, Vanessa Diane is an sole proprietor health care provider with primary practice located at 2309 Pacific Coast Hwy Suite #207, Hermosa Beach CA 90254-2751. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Isetta, Vanessa Diane can be contacted via phone (310) 980-7352.

Contact Information

Primary practice address
2309 Pacific Coast Hwy Suite #207 Hermosa Beach CA 90254-2751
Phone: (310) 980-7352
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY20941 California

Profile Details

NPI number 1003035452
LBN Legal business name Isetta, Vanessa Diane
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 24th, 2007
Last updated Aug 6th, 2015 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1003035452 NPPES
California MEDICAID 00007302
California Other CB24537

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