Jarvis, Robert Michael

Jarvis, Robert Michael is an sole proprietor health care provider with primary practice located at 151 Kalmus Dr Suite B-220, Costa Mesa CA 92626-5988. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Jarvis, Robert Michael can be contacted via phone (949) 650-7025.

Contact Information

Primary practice address
151 Kalmus Dr Suite B-220 Costa Mesa CA 92626-5988
Phone: (949) 650-7025
Fax: (949) 452-0889
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY7585 California

Profile Details

NPI number 1154462364
LBN Legal business name Jarvis, Robert Michael
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 9th, 2007
Last updated Jan 21st, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1154462364 NPPES
California MEDICAID PX0075850

Popular Providers