Santos, Gabriel

Santos, Gabriel is an sole proprietor health care provider with primary practice located at 18152 Lull St , Reseda CA 91335-2048. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Other Service Providers / Peer Specialist, Behavioral Health & Social Service Providers / Counselor. Other Service Providers / Peer Specialist is his primary health care specialty. Santos, Gabriel can be contacted via phone (510) 314-6423.

Contact Information

Primary practice address
18152 Lull St Reseda CA 91335-2048
Phone: (510) 314-6423
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X Arizona
Other Service Providers / Peer Specialist 175T00000X Arizona
Behavioral Health & Social Service Providers / Counselor 101Y00000X Arizona

Profile Details

NPI number 1366110538
LBN Legal business name Santos, Gabriel
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 2nd, 2021
Last updated Sep 18th, 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 1366110538 NPPES
California MEDICAID 01779778

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