Jenkins, Louis

Jenkins, Louis is an individual health care provider with primary practice located at 11130 Anderson St Ste 117, Loma Linda CA 92354-2802. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Jenkins, Louis can be contacted via phone (909) 558-8752.

Contact Information

Primary practice address
11130 Anderson St Ste 117 Loma Linda CA 92354-2802
Phone: (909) 558-8752
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY6079 California

Profile Details

NPI number 1154401552
LBN Legal business name Jenkins, Louis
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2006
Last updated Jul 8th, 2007 - about 17 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 1154401552 NPPES
California MEDICAID PSY060790

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