Moody, Louis
Moody, Louis is an sole proprietor health care provider with primary practice located at 11227 Valley Blvd Ste 100 , El Monte CA 91731-3299. 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. Moody, Louis can be contacted via phone (626) 444-0507.Contact Information
Primary practice address
11227 Valley Blvd Ste 100
El Monte CA 91731-3299
Phone: (626) 444-0507
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1003938135 |
|---|---|
| LBN Legal business name | Moody, Louis |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 6th, 2007 |
| Last updated | Sep 20th, 2021 - about 4 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 | 1003938135 | NPPES |
| California | Other | 743045262 | TAX ID |
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