Lopez Andrade, Jose De Jesus

Lopez Andrade, Jose De Jesus is an sole proprietor health care provider with primary practice located at 14112 S Kingsley Dr , Gardena CA 90249-3018. He recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor, Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Lopez Andrade, Jose De Jesus can be contacted via phone (310) 217-7312.

Contact Information

Primary practice address
14112 S Kingsley Dr Gardena CA 90249-3018
Fax:
Website:

Profile Details

NPI number 1881068450
LBN Legal business name Lopez Andrade, Jose De Jesus
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 19th, 2015
Last updated Aug 21st, 2023 - about last year

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 1881068450 NPPES
California Other 01536011 MEDI-CAL

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