Jefferson, Paul Leon

Jefferson, Paul Leon is an individual health care provider with primary practice located at 1865 9Th Street , Santa Monica CA 90404-4501. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Jefferson, Paul Leon can be contacted via phone (310) 314-6200.

Contact Information

Primary practice address
1865 9Th Street Santa Monica CA 90404-4501
Phone: (310) 314-6200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1043521362
LBN Legal business name Jefferson, Paul Leon
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2010
Last updated Mar 5th, 2021 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1043521362 NPPES
California MEDICAID 1512013461

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