Campos, Jose Ventura
Campos, Jose Ventura is an sole proprietor health care provider with primary practice located at 3186 Airway Ave Ste A , Costa Mesa CA 92626-4650. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Campos, Jose Ventura can be contacted via phone (714) 881-0427.Contact Information
Primary practice address
3186 Airway Ave Ste A
Costa Mesa CA 92626-4650
Phone: (714) 881-0427
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1225672819 |
|---|---|
| LBN Legal business name | Campos, Jose Ventura |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 6th, 2019 |
| Last updated | Dec 20th, 2021 - about 5 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 | 1225672819 | NPPES |
| California | MEDICAID | 137216 |
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