Ross, Bart Lee

Ross, Bart Lee is an individual health care provider with primary practice located at 16531 Bolsa Chica St Ste 314, Huntington Beach CA 92649-3596. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Ross, Bart Lee can be contacted via phone (626) 963-4467.

Contact Information

Primary practice address
16531 Bolsa Chica St Ste 314 Huntington Beach CA 92649-3596
Phone: (626) 963-4467
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY15175 California

Profile Details

NPI number 1639105430
LBN Legal business name Ross, Bart Lee
Credentials PH.D
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2006
Last updated Feb 17th, 2016 - about 10 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 1639105430 NPPES
California MEDICAID 00CP151750

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