Luong, Jerry

Luong, Jerry is an individual health care provider with primary practice located at 29122 Rancho Viejo Rd Ste 206 , San Juan Capistrano CA 92675-1039. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Luong, Jerry can be contacted via phone (949) 335-0254.

Contact Information

Primary practice address
29122 Rancho Viejo Rd Ste 206 San Juan Capistrano CA 92675-1039
Phone: (949) 335-0254
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X California

Profile Details

NPI number 1003322819
LBN Legal business name Luong, Jerry
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 17th, 2017
Last updated Dec 17th, 2017 - about 9 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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