Wiggins, Maria Guadalupe

Wiggins, Maria Guadalupe is an individual health care provider with primary practice located at 18350 Hatteras St Apt 162 , Tarzana CA 91356-1693. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Wiggins, Maria Guadalupe can be contacted via phone (818) 896-1161.

Contact Information

Primary practice address
18350 Hatteras St Apt 162 Tarzana CA 91356-1693
Phone: (818) 896-1161
Fax:
Website:
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Health care specialties

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

Profile Details

NPI number 1619167251
LBN Legal business name Wiggins, Maria Guadalupe
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 2007
Last updated Jul 30th, 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 1619167251 NPPES
California MEDICAID 7068
California MEDICAID 7420

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