San Buenaventura, Rina Ela

San Buenaventura, Rina Ela is an individual health care provider with primary practice located at 24511 W Jayne Ave , Coalinga CA 93210-9503. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. San Buenaventura, Rina Ela can be contacted via phone (559) 935-4300.

Contact Information

Primary practice address
24511 W Jayne Ave Coalinga CA 93210-9503
Phone: (559) 935-4300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X

Profile Details

NPI number 1316228372
LBN Legal business name San Buenaventura, Rina Ela
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2011
Last updated Apr 13th, 2018 - about 7 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 1316228372 NPPES
California MEDICAID 1124078704

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