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Dr. Richard Betancourt
Student in an Organized Health Care Education/Training Program in Tarzana, California
NPI 1770702771

Richard Betancourt is a Student in an Organized Health Care Education/Training Program based in Santa Ana, CA. Richard Betancourt practices in Tarzana, CA. The NPI Number for Richard Betancourt is 1770702771 and holds a License No. (California).

The current practice location address for Richard Betancourt is 18646 Oxnard St, Tarzana, CA and can be reached out via phone at 818-996-1051.

Location: 18646 Oxnard St, Tarzana, CA, 92703-3907
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770702771
Provider Name
Richard Betancourt
Credential
Provider Entity Type
Individual
Gender
Male
Address
18646 Oxnard St, Tarzana, CA, 92703-3907
Phone Number
818-996-1051
Fax Number
Provider Enumeration Date
04/25/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7006 05 CA
institution
Provider Business Practice Location Address Details
Address
18646 Oxnard St
City
Tarzana
State
California
Zip
91356-1411
Phone Number
818-996-1051
Fax Number
person
Provider Business Mailing Address Details
Address
18646 Oxnard St
City
Tarzana
State
California
Zip
91356-1411
Phone Number
818-996-1051
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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