Maneevorn, Khamsavat
Maneevorn, Khamsavat is an individual health care provider with primary practice located at 3905 Macdonald Ave , Richmond CA 94805-2229. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Maneevorn, Khamsavat can be contacted via phone (510) 233-7555.Contact Information
Primary practice address
3905 Macdonald Ave
Richmond CA 94805-2229
Phone: (510) 233-7555
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1740475094 |
|---|---|
| LBN Legal business name | Maneevorn, Khamsavat |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 10th, 2007 |
| Last updated | Sep 10th, 2007 - about 17 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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