Villalobos, Chris Socorro
Villalobos, Chris Socorro is an individual health care provider with primary practice located at 2501 W El Segundo Blvd , Hawthorne CA 90250-3317. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Villalobos, Chris Socorro can be contacted via phone (323) 754-2816.Contact Information
Primary practice address
2501 W El Segundo Blvd
Hawthorne CA 90250-3317
Phone: (323) 754-2816
Fax: (323) 754-2828
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
NPI number | 1285854398 |
---|---|
LBN Legal business name | Villalobos, Chris Socorro |
Credentials | CADC II |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 30th, 2007 |
Last updated | Nov 3rd, 2015 - about 9 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 | 1285854398 | NPPES |
California | MEDICAID | 1989 |
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