Leon-Raigoza, Gustavo Adolfo

Leon-Raigoza, Gustavo Adolfo is an individual health care provider with primary practice located at 333 S Farrell Dr , Palm Springs CA 92262-7905. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Leon-Raigoza, Gustavo Adolfo can be contacted via phone (760) 883-2700.

Contact Information

Primary practice address
333 S Farrell Dr Palm Springs CA 92262-7905
Phone: (760) 883-2700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1568052850
LBN Legal business name Leon-Raigoza, Gustavo Adolfo
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 21st, 2021
Last updated Jan 21st, 2021 - about 3 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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