Mondragon Gaytan, Edgar Giovanny

Mondragon Gaytan, Edgar Giovanny is an individual health care provider with primary practice located at 334 Via Vera Cruz Ste 107 , San Marcos CA 92078-2637. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Mondragon Gaytan, Edgar Giovanny can be contacted via phone (760) 304-5010.

Contact Information

Primary practice address
334 Via Vera Cruz Ste 107 San Marcos CA 92078-2637
Phone: (760) 304-5010
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1356992374
LBN Legal business name Mondragon Gaytan, Edgar Giovanny
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2019
Last updated Sep 20th, 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.

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