De Leon, Justyn

De Leon, Justyn is an individual health care provider with primary practice located at 4109 Emerald St , Torrance CA 90503-3105. He recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as his primary health care specialty. De Leon, Justyn can be contacted via phone (310) 793-3000.

Contact Information

Primary practice address
4109 Emerald St Torrance CA 90503-3105
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 28207 California

Profile Details

NPI number 1811459381
LBN Legal business name De Leon, Justyn
Credentials CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2019
Last updated Apr 3rd, 2019 - about 6 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 1811459381 NPPES
California Other 28207 CA SLP LICENSE

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