Oportot, Miguel
Oportot, Miguel is an sole proprietor health care provider with primary practice located at 6615 E Pacific Coast Hwy #255, Long Beach CA 90803-4211. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Oportot, Miguel can be contacted via phone (562) 799-6700.Contact Information
Primary practice address
6615 E Pacific Coast Hwy #255
Long Beach CA 90803-4211
Phone: (562) 799-6700
Fax: (562) 799-6733
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY20692 | California |
Profile Details
NPI number | 1568405538 |
---|---|
LBN Legal business name | Oportot, Miguel |
Credentials | PH.D. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 14th, 2006 |
Last updated | Nov 23rd, 2021 - about 3 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 | 1568405538 | NPPES |
California | Other | PSY206920 | MEDI-CAL |
California | MEDICAID | 1994437 | MEDI-CAL |
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