Moya-Magana, Imelda

Moya-Magana, Imelda is an individual health care provider with primary practice located at 2125 Citracado Pkwy Ste 200 , Escondido CA 92029-4159. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Moya-Magana, Imelda can be contacted via phone (760) 294-9270.

Contact Information

Primary practice address
2125 Citracado Pkwy Ste 200 Escondido CA 92029-4159
Phone: (760) 294-9270
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Professional 101YP2500X 18053 California

Profile Details

NPI number 1649734724
LBN Legal business name Moya-Magana, Imelda
Credentials LPCC 18053
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2019
Last updated Dec 2nd, 2024 - about 2 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 1649734724 NPPES
California MEDICAID 101YM0800X
California MEDICAID 101YMO800X

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