Smith, Delores

Smith, Delores is an sole proprietor health care provider with primary practice located at 9055 Orion Ave Apt 5 , North Hills CA 91343-4240. 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. Smith, Delores can be contacted via phone (818) 277-3773.

Contact Information

Primary practice address
9055 Orion Ave Apt 5 North Hills CA 91343-4240
Phone: (818) 277-3773
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 6963 California
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 6963I California

Profile Details

NPI number 1134646359
LBN Legal business name Smith, Delores
Credentials CAADE CATCI #6963
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 28th, 2017
Last updated Jul 21st, 2022 - about 2 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 1134646359 NPPES
California Other 6963I CAADE

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