Kaufman, Ronald Louis

Kaufman, Ronald Louis is an individual health care provider with primary practice located at 12501 Chandler Blvd 102, Valley Village CA 91607-1941. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Kaufman, Ronald Louis can be contacted via phone (818) 821-6012.

Contact Information

Primary practice address
12501 Chandler Blvd 102 Valley Village CA 91607-1941
Fax: (818) 821-6014
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY 17178 California

Profile Details

NPI number 1558372136
LBN Legal business name Kaufman, Ronald Louis
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2006
Last updated May 12th, 2016 - about 8 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 1558372136 NPPES
California MEDICAID PSY 171780

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