Itchon, Gladys

Itchon, Gladys is an individual health care provider with primary practice located at 844 Pico Blvd , Santa Monica CA 90405-1325. 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. Itchon, Gladys can be contacted via phone (310) 314-6200.

Contact Information

Primary practice address
844 Pico Blvd Santa Monica CA 90405-1325
Phone: (310) 314-6200
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1760926497
LBN Legal business name Itchon, Gladys
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2016
Last updated Dec 14th, 2016 - about 10 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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