Mirabal, Jose Luis

Mirabal, Jose Luis is an sole proprietor health care provider with primary practice located at 15305 Rayen St , North Hills CA 91343-5117. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Mirabal, Jose Luis can be contacted via phone (818) 894-3384.

Contact Information

Primary practice address
15305 Rayen St North Hills CA 91343-5117
Phone: (818) 894-3384
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X IMF60838 California

Profile Details

NPI number 1295094092
LBN Legal business name Mirabal, Jose Luis
Credentials M.S,M.A
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 14th, 2012
Last updated May 14th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295094092 NPPES
California Other #95-2633765 MEDI-CAL

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