Islas, Sergio

Islas, Sergio is an sole proprietor health care provider with primary practice located at 17800 Us Highway 18 , Apple Valley CA 92307-1221. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Other Service Providers / Community Health Worker. Other Service Providers / Community Health Worker is his primary health care specialty. Islas, Sergio can be contacted via phone (760) 242-6336.

Contact Information

Primary practice address
17800 Us Highway 18 Apple Valley CA 92307-1221
Phone: (760) 242-6336
Fax: (760) 946-0819
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 111794 California
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1457644783
LBN Legal business name Islas, Sergio
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 19th, 2011
Last updated Feb 28th, 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 1457644783 NPPES
California Other IMF 74045 MARRIAGE AND FAMILY THERAPIST INTERN

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