Stulberg, Irving Ian
Stulberg, Irving Ian is an individual health care provider with primary practice located at 526 S San Pedro St , Los Angeles CA 90013-2102. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Stulberg, Irving Ian can be contacted via phone (213) 488-9559.Contact Information
Primary practice address
526 S San Pedro St
Los Angeles CA 90013-2102
Phone: (213) 488-9559
Fax: (213) 270-9060
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LCS14126 | California |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X |
Profile Details
| NPI number | 1750380143 |
|---|---|
| LBN Legal business name | Stulberg, Irving Ian |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 18th, 2005 |
| Last updated | Jun 19th, 2015 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750380143 | NPPES |
| California | MEDICAID | LCS14126 | |
| California | Other | LCS14126 |
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