Patjawee, Matthew

Patjawee, Matthew is an individual health care provider with primary practice located at 5810 Ralston St Fl 2 , Ventura CA 93003-6010. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Patjawee, Matthew can be contacted via phone (805) 642-7033.

Contact Information

Primary practice address
5810 Ralston St Fl 2 Ventura CA 93003-6010
Fax: (805) 642-7201
Website:

Health care specialties

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

Profile Details

NPI number 1932468543
LBN Legal business name Patjawee, Matthew
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2012
Last updated Jan 27th, 2022 - about 4 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 1932468543 NPPES
California Other 174400000X OTHER SERVICES

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