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:
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Health care specialties

SpecialtyCodeLicense #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 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568405538 NPPES
California Other PSY206920 MEDI-CAL
California MEDICAID 1994437 MEDI-CAL

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