Freeman, Carlotta Vanessa
Freeman, Carlotta Vanessa is an sole proprietor health care provider with primary practice located at 2640 Industry Way , Lynwood CA 90262-4284. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Freeman, Carlotta Vanessa can be contacted via phone (310) 627-4525.Contact Information
Primary practice address
2640 Industry Way
Lynwood CA 90262-4284
Phone: (310) 627-4525
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | G84704 | California |
Profile Details
| NPI number | 1710107693 |
|---|---|
| LBN Legal business name | Freeman, Carlotta Vanessa |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 26th, 2007 |
| Last updated | May 13th, 2020 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710107693 | NPPES |
| California | MEDICAID | 00G847040 |
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