Lastar, Frederic

Lastar, Frederic is an individual health care provider with primary practice located at 4144 Kenway Ave , View Park CA 90008-4810. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Lastar, Frederic can be contacted via phone (888) 557-7217.

Contact Information

Primary practice address
4144 Kenway Ave View Park CA 90008-4810
Phone: (888) 557-7217
Fax: (888) 739-6925
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 133373 California

Profile Details

NPI number 1407542376
LBN Legal business name Lastar, Frederic
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2023
Last updated Apr 19th, 2023 - 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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