Entre Amigos Human Services, LLC
Psychologist, Clinical in El Monte, CA. Organization (NPI-2).
NPI number1891901385
StatusActive
Last updated in NPPESJun 7, 2011
Details
- NPI
- 1891901385
- Entity type
- Organization (NPI-2)
- Legal business name
- Entre Amigos Human Services, LLC
- Organization subpart
- No
- Enumeration date
- May 14, 2007
- Last updated
- Jun 7, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | PSY 14867 | CA | Yes |
| 103TC0700X | Psychologist, Clinical | PSY 19431 | CA | |
| 106H00000X | Marriage & Family Therapist | IMF 49184 | CA |
Practice location
11001 Valley Mall Ste 204El Monte, CA 91731-2620
Phone 626-582-8912 · Fax 626-582-8895
Mailing address
11001 Valley Mall Ste 204El Monte, CA 91731-2620
Phone 626-582-8912 · Fax 626-582-8895
Authorized official
Eduardo Luis Lopez-Navarro
Executive Director
6265828912
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