Ezeta, Leopoldo
Ezeta, Leopoldo is an individual health care provider with primary practice located at 865 3Rd Ave Ste 112 , Chula Vista CA 91911-1300. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Peer Specialist, Behavioral Health & Social Service Providers / Counselor. Other Service Providers / Peer Specialist is his primary health care specialty. Ezeta, Leopoldo can be contacted via phone (619) 271-7992.Contact Information
Primary practice address
865 3Rd Ave Ste 112
Chula Vista CA 91911-1300
Phone: (619) 271-7992
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Peer Specialist | 175T00000X | ||
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X |
Profile Details
| NPI number | 1609359256 |
|---|---|
| LBN Legal business name | Ezeta, Leopoldo |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 10th, 2018 |
| Last updated | Oct 26th, 2022 - about 4 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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