Parks, Lance Jay

Parks, Lance Jay is an individual health care provider with primary practice located at 1907 Boys Republic Dr , Chino Hills CA 91709-5447. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Parks, Lance Jay can be contacted via phone (909) 628-1217.

Contact Information

Primary practice address
1907 Boys Republic Dr Chino Hills CA 91709-5447
Phone: (909) 628-1217
Fax: (909) 627-9222
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCS17810 California

Profile Details

NPI number 1346798592
LBN Legal business name Parks, Lance Jay
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2016
Last updated Apr 27th, 2017 - about 8 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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