Johansen, Ian Thomas

Johansen, Ian Thomas is an sole proprietor health care provider with primary practice located at 17215 Studebaker Rd Suite #110, Cerritos CA 90703-2548. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Johansen, Ian Thomas can be contacted via phone (562) 860-2210.

Contact Information

Primary practice address
17215 Studebaker Rd Suite #110 Cerritos CA 90703-2548
Phone: (562) 860-2210
Fax: (562) 860-1154
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY22833 California

Profile Details

NPI number 1558695718
LBN Legal business name Johansen, Ian Thomas
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 21st, 2009
Last updated Sep 21st, 2009 - about 15 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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