Chacon, Lucero Gonzalez

Chacon, Lucero Gonzalez is an sole proprietor health care provider with primary practice located at 2033 S Crescent Ave , San Pedro CA 90731-5512. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Chacon, Lucero Gonzalez can be contacted via phone (424) 417-1374.

Contact Information

Primary practice address
2033 S Crescent Ave San Pedro CA 90731-5512
Phone: (424) 417-1374
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X R1355620719 California
Behavioral Health & Social Service Providers / Clinical 1041C0700X 110884 California

Profile Details

NPI number 1780227462
LBN Legal business name Chacon, Lucero Gonzalez
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 24th, 2019
Last updated May 7th, 2024 - about 2 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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