Boghosian, Jack
Boghosian, Jack is an individual health care provider with primary practice located at 1502 W West Covina Pkwy , West Covina CA 91790-2703. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Boghosian, Jack can be contacted via phone (626) 480-5214.Contact Information
Primary practice address
1502 W West Covina Pkwy
West Covina CA 91790-2703
Phone: (626) 480-5214
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY8154 | California |
Profile Details
| NPI number | 1013113091 |
|---|---|
| LBN Legal business name | Boghosian, Jack |
| Credentials | PH. D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 26th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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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