Quiroga, Jose Luis

Quiroga, Jose Luis is an individual health care provider with primary practice located at 1400 Emeline Ave , Santa Cruz CA 95060-1976. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Quiroga, Jose Luis can be contacted via phone (831) 454-4170.

Contact Information

Primary practice address
1400 Emeline Ave Santa Cruz CA 95060-1976
Phone: (831) 454-4170
Fax: (831) 454-4971
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY17172 California

Profile Details

NPI number 1417991373
LBN Legal business name Quiroga, Jose Luis
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Mar 11th, 2008 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1417991373 NPPES
California Other 1659315430 LEGAL ENTITY NPI#
California Other ZZZ92069Z LEGAL ENTITY NPI#
California Other ZZZ91891Z LEGAL ENTITY NPI#
California Other ZZZ92073Z LEGAL ENTITY NPI#
California Other PSY17172 LEGAL ENTITY NPI#
California Other ZZZ91892Z LEGAL ENTITY NPI#

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