Gallardo-Diaz, Jasmine
Gallardo-Diaz, Jasmine is an individual health care provider with primary practice located at 944 Pacific Ave , Long Beach CA 90813-4228. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Gallardo-Diaz, Jasmine can be contacted via phone (562) 436-3533.Contact Information
Primary practice address
944 Pacific Ave
Long Beach CA 90813-4228
Phone: (562) 436-3533
Fax: (562) 436-0043
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1871838730 |
|---|---|
| LBN Legal business name | Gallardo-Diaz, Jasmine |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 4th, 2012 |
| Last updated | Dec 4th, 2012 - about 14 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 | 1871838730 | NPPES |
| California | MEDICAID | 7006 |
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