Lustre, Sandra
Lustre, Sandra is an sole proprietor health care provider with primary practice located at 1845 Pacheco Pass Hwy , Gilroy CA 95020-9529. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Lustre, Sandra can be contacted via phone (408) 500-8046.Contact Information
Primary practice address
1845 Pacheco Pass Hwy
Gilroy CA 95020-9529
Phone: (408) 500-8046
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | California |
Profile Details
| NPI number | 1841838752 |
|---|---|
| LBN Legal business name | Lustre, Sandra |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 11th, 2019 |
| Last updated | Dec 11th, 2019 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841838752 | NPPES |
| California | MEDICAID | 46251587 | |
| California | Other | OPG462A51587 |
Popular Providers
-
Rialson, Rafael Anthony
9360 N Name Uno Ste 130 , Gilroy CA 95020-3535 -
Cruz, Jose Enrique
9360 Noname Uno #130 , Gilroy CA 95020 -
Vargas, Vanessa Monique
7020 Eigleberry St Apt 7 , Gilroy CA 95020-6434 -
Williams, Whittney Danielle
9360 N Name Uno Ste 130 , Gilroy CA 95020-3535 -
Stuart, Anitra
9360 N Name Uno Ste 130 , Gilroy CA 95020-3535 -
Bidstrup, Lisa
9360 N Name Uno Ste 130 , Gilroy CA 95020-3535 -
Valdivia, Valerie
9360 N Name Uno Ste 130 , Gilroy CA 95020-3535 -
De La Cruz Chavarin, Freshia Osiris
9360 N Name Uno , Gilroy CA 95020-3540