Unruh, Donald L

Unruh, Donald L is an individual health care provider with primary practice located at 415 W Route 66 202, Glendora CA 91740-4335. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Unruh, Donald L can be contacted via phone (626) 963-4467.

Contact Information

Primary practice address
415 W Route 66 202 Glendora CA 91740-4335
Phone: (626) 963-4467
Fax: (626) 963-9543
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY7842 California

Profile Details

NPI number 1154365435
LBN Legal business name Unruh, Donald L
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
Last updated Jul 9th, 2007 - about 17 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 1154365435 NPPES
California MEDICAID 00CP78420

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