Madgulkar, Jaidev

Madgulkar, Jaidev is an individual health care provider with primary practice located at 12625 Hesperia Rd , Victorville CA 92395-7720. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Madgulkar, Jaidev can be contacted via phone (760) 955-1777.

Contact Information

Primary practice address
12625 Hesperia Rd Victorville CA 92395-7720
Fax: (760) 955-2356
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCS16148 California

Profile Details

NPI number 1679663181
LBN Legal business name Madgulkar, Jaidev
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2006
Last updated May 20th, 2013 - about 11 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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