Renwick, Gordon Luca
Renwick, Gordon Luca is an sole proprietor health care provider with primary practice located at 900 N Cuyamaca St Suite 206, El Cajon CA 92020-1865. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Renwick, Gordon Luca can be contacted via phone (619) 218-9181.Contact Information
Primary practice address
900 N Cuyamaca St Suite 206
El Cajon CA 92020-1865
Phone: (619) 218-9181
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY 16183 | California |
Profile Details
| NPI number | 1679581953 |
|---|---|
| LBN Legal business name | Renwick, Gordon Luca |
| Credentials | PSY.D |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 3rd, 2006 |
| Last updated | Jul 9th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679581953 | NPPES |
| California | MEDICAID | PSY16183 |
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