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Contact Information

ILSE AHUMADA, AA
1628 BROADWAY ST STE B
VALLEJO, CA94590-2405
 Phone: 707-649-8300
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for ILSE AHUMADA · (Female)

NPI # 1871156364
Status Active
Credentials AA
Entity Individual
Enumeration date 04/19/2019
Last updated 04/19/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # R1285781217
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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