Lopez Gallegos, Mirza Corina
Lopez Gallegos, Mirza Corina is an individual health care provider with primary practice located at 11721 Telegraph Rd , Santa Fe Springs CA 90670-3674. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Lopez Gallegos, Mirza Corina can be contacted via phone (562) 949-8455.Contact Information
Primary practice address
11721 Telegraph Rd
Santa Fe Springs CA 90670-3674
Phone: (562) 949-8455
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | California | |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner | 225400000X | B9907603 | California |
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LCSW74959 | California |
Profile Details
NPI number | 1093946139 |
---|---|
LBN Legal business name | Lopez Gallegos, Mirza Corina |
Credentials | Licensed Clinical Social Worker (LCSW) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 6th, 2009 |
Last updated | Jan 12th, 2022 - 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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