Prado, Kenneth William

Prado, Kenneth William is an sole proprietor health care provider with primary practice located at 40700 Calif Oaks Rd Ste 202 , Murrieta CA 92562-5789. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Prado, Kenneth William can be contacted via phone (951) 894-5072.

Contact Information

Primary practice address
40700 Calif Oaks Rd Ste 202 Murrieta CA 92562-5789
Phone: (951) 894-5072
Fax: (951) 929-2780
Website:
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Health care specialties

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

Profile Details

NPI number 1821369661
LBN Legal business name Prado, Kenneth William
Credentials RRW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 25th, 2012
Last updated Dec 15th, 2021 - about 3 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 1821369661 NPPES
California MEDICAID 333903
California MEDICAID 333901

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