Penny Blazej Licensed Clinical Social Worker Prof Corp

LBN: Penny Blazej Licensed Clinical Social Worker Prof Corp
Penny Blazej Licensed Clinical Social Worker Prof Corp is an health care organization with primary practice located at 28714 Valley Center Road Suite E, Valley Center CA 92082. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Penny Blazej Licensed Clinical Social Worker Prof Corp can be contacted via phone (760) 685-3403, or through Blazej, Penny Annette via phone (760) 685-3403.

Contact Information

Primary practice address
28714 Valley Center Road Suite E Valley Center CA 92082
Phone: (760) 685-3403
Fax: (760) 751-8650
Website:
Map and Directions
Authorized official contact:
Name: Blazej, Penny Annette LCSW BCD
Phone: (760) 685-3403

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 21570 California

Profile Details

NPI number 1821279043
LBN Legal business name Penny Blazej Licensed Clinical Social Worker Prof Corp
DBA Doing business as
Authorized official Blazej, Penny Annette LCSW BCD
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 15th, 2007
Last updated Nov 15th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821279043 NPPES
Other LC5215700 BLUE CROSS BLUE SHIELD

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