Pondok, Lori A

Pondok, Lori A is an individual health care provider with primary practice located at 107 Jackson St , Hayward CA 94544-1948. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Pondok, Lori A can be contacted via phone (510) 886-8696.

Contact Information

Primary practice address
107 Jackson St Hayward CA 94544-1948
Phone: (510) 886-8696
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1972704880
LBN Legal business name Pondok, Lori A
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 29th, 2007
Last updated Jul 8th, 2007 - about 17 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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