Acuna, Mark Anthony

Acuna, Mark Anthony is an sole proprietor health care provider with primary practice located at 205 Pasadena Ave , South Pasadena CA 91030-2919. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Acuna, Mark Anthony can be contacted via phone (323) 344-5536.

Contact Information

Primary practice address
205 Pasadena Ave South Pasadena CA 91030-2919
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 78330 California

Profile Details

NPI number 1013041581
LBN Legal business name Acuna, Mark Anthony
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 15th, 2007
Last updated Apr 30th, 2014 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013041581 NPPES
California Other 7184 MEDI-CAL
California Other 7368 MEDI-CAL
California Other 7667 MEDI-CAL
California Other 7708 MEDI-CAL

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