Ruvalcaba, Brandon

Ruvalcaba, Brandon is an individual health care provider with primary practice located at 1359 N Grand Ave , Covina CA 91724-1016. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Ruvalcaba, Brandon can be contacted via phone (626) 430-2853.

Contact Information

Primary practice address
1359 N Grand Ave Covina CA 91724-1016
Phone: (626) 430-2853
Fax: (626) 331-0035
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X ASW91651 California
Behavioral Health & Social Service Providers / Clinical 1041C0700X 110770 California

Profile Details

NPI number 1659757805
LBN Legal business name Ruvalcaba, Brandon
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2015
Last updated Mar 16th, 2023 - about 3 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 1659757805 NPPES
California MEDICAID 6758
California MEDICAID 7420
California MEDICAID 7068

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