Victoria, Rafael Enrico
Victoria, Rafael Enrico is an sole proprietor health care provider with primary practice located at 15050 Imperial Hwy , La Mirada CA 90638-1301. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Victoria, Rafael Enrico can be contacted via phone (562) 698-0811.Contact Information
Primary practice address
15050 Imperial Hwy
La Mirada CA 90638-1301
Phone: (562) 698-0811
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 27515 | California |
Profile Details
| NPI number | 1285162628 |
|---|---|
| LBN Legal business name | Victoria, Rafael Enrico |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 30th, 2017 |
| Last updated | Aug 21st, 2017 - about 9 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 | 1285162628 | NPPES |
| California | Other | 27515 | LCSW |
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