Ota-Clemons, Christine Keiko

Ota-Clemons, Christine Keiko is an sole proprietor health care provider with primary practice located at 460 E Carson Plaza Dr , Carson CA 90746-3228. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Ota-Clemons, Christine Keiko can be contacted via phone (310) 523-9500.

Contact Information

Primary practice address
460 E Carson Plaza Dr Carson CA 90746-3228
Phone: (310) 523-9500
Fax: (310) 255-2725
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X IMF66490 California

Profile Details

NPI number 1427170042
LBN Legal business name Ota-Clemons, Christine Keiko
Credentials MS MFTI
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 4th, 2007
Last updated Jun 25th, 2013 - about 12 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 1427170042 NPPES
California MEDICAID 00007570
California Other SUBB890

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