Cobb, Jason Gregory

Cobb, Jason Gregory is an sole proprietor health care provider with primary practice located at 15317 Rayen St , North Hills CA 91343-5117. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Cobb, Jason Gregory can be contacted via phone (818) 892-3423.

Contact Information

Primary practice address
15317 Rayen St North Hills CA 91343-5117
Phone: (818) 892-3423
Fax: (818) 893-4509
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 69944 California

Profile Details

NPI number 1073854436
LBN Legal business name Cobb, Jason Gregory
Credentials IMF
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 11th, 2013
Last updated Mar 21st, 2013 - about 13 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 1073854436 NPPES
California Other 95-2633765 MEDI-CAL

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