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Contact Information

BRUCE GAINES
10605 BALBOA BLVD. SUITE 100
GRANADA HILLS, CA91344
 Phone: 818-832-2400
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for BRUCE GAINES · (Male)

NPI # 1114252772
Status Active
Credentials
Entity Individual
Enumeration date 10/14/2009
Last updated 10/12/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 32704
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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