Renwick, Gordon Luca

Renwick, Gordon Luca is an sole proprietor health care provider with primary practice located at 900 N Cuyamaca St Suite 206, El Cajon CA 92020-1865. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Renwick, Gordon Luca can be contacted via phone (619) 218-9181.

Contact Information

Primary practice address
900 N Cuyamaca St Suite 206 El Cajon CA 92020-1865
Phone: (619) 218-9181
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY 16183 California

Profile Details

NPI number 1679581953
LBN Legal business name Renwick, Gordon Luca
Credentials PSY.D
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 3rd, 2006
Last updated Jul 9th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1679581953 NPPES
California MEDICAID PSY16183

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