Madrazo Torres, Juan F
Madrazo Torres, Juan F is an sole proprietor health care provider with primary practice located at 224 Landis Ave , Chula Vista CA 91910-2609. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Madrazo Torres, Juan F can be contacted via phone (619) 730-9603.Contact Information
Primary practice address
224 Landis Ave
Chula Vista CA 91910-2609
Phone: (619) 730-9603
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY29443 | California |
Profile Details
| NPI number | 1831353366 |
|---|---|
| LBN Legal business name | Madrazo Torres, Juan F |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 14th, 2008 |
| Last updated | Aug 1st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831353366 | NPPES |
| California | MEDICAID | 1831353366 |
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