South, Paul

South, Paul is an individual health care provider with primary practice located at 3160 Telegraph Rd Ste 200 , Ventura CA 93003-3250. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. South, Paul can be contacted via phone (805) 642-4611.

Contact Information

Primary practice address
3160 Telegraph Rd Ste 200 Ventura CA 93003-3250
Fax: (805) 585-3241
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW-16584 Arizona
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW91416 California

Profile Details

NPI number 1306220421
LBN Legal business name South, Paul
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2015
Last updated Feb 4th, 2026 - about 8 months 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 1306220421 NPPES
California MEDICAID 100443109

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