Fernando, Jill

Fernando, Jill is an individual health care provider with primary practice located at 2119 Rockdale Ave , Simi Valley CA 93063-3705. 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 / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Fernando, Jill can be contacted via phone (805) 231-1531.

Contact Information

Primary practice address
2119 Rockdale Ave Simi Valley CA 93063-3705
Phone: (805) 231-1531
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Professional 101YP2500X 7480 California

Profile Details

NPI number 1811444805
LBN Legal business name Fernando, Jill
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2016
Last updated Mar 27th, 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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