Siahaan, Edward Halomoan

Siahaan, Edward Halomoan is an sole proprietor health care provider with primary practice located at 22899 Cattail Ln , Moreno Valley CA 92557-6013. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Siahaan, Edward Halomoan can be contacted via phone (909) 553-1481.

Contact Information

Primary practice address
22899 Cattail Ln Moreno Valley CA 92557-6013
Phone: (909) 553-1481
Fax: (951) 924-7226
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X IMF 50143 California

Profile Details

NPI number 1679750947
LBN Legal business name Siahaan, Edward Halomoan
Credentials MS, MBA, MFT INTERN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 29th, 2008
Last updated Jan 29th, 2008 - about 16 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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