Raygoza, Crystalbell
Raygoza, Crystalbell is an sole proprietor health care provider with primary practice located at 12543 Pierce St M, Pacoima CA 91331-1700. 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. Raygoza, Crystalbell can be contacted via phone (818) 987-7058.Contact Information
Primary practice address
12543 Pierce St M
Pacoima CA 91331-1700
Phone: (818) 987-7058
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1316121239 |
|---|---|
| LBN Legal business name | Raygoza, Crystalbell |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 27th, 2007 |
| Last updated | Dec 27th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316121239 | NPPES |
| California | MEDICAID | 197134 |
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