Diaz Barrientos, Domenica

Diaz Barrientos, Domenica is an sole proprietor health care provider with primary practice located at 222 W 6Th St Ste 230 , San Pedro CA 90731-3332. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Diaz Barrientos, Domenica can be contacted via phone (310) 833-3135.

Contact Information

Primary practice address
222 W 6Th St Ste 230 San Pedro CA 90731-3332
Phone: (310) 833-3135
Fax: (310) 707-2877
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X AMFT139691 California

Profile Details

NPI number 1861262032
LBN Legal business name Diaz Barrientos, Domenica
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 8th, 2024
Last updated Jun 13th, 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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