Agatep, Melvin Lazaro
Agatep, Melvin Lazaro is an sole proprietor health care provider with primary practice located at 2503 Beverly Blvd Ste. #2, Los Angeles CA 90057-1024. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Agatep, Melvin Lazaro can be contacted via phone (213) 368-9283.Contact Information
Primary practice address
2503 Beverly Blvd Ste. #2
Los Angeles CA 90057-1024
Phone: (213) 368-9283
Fax: (213) 368-0478
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | A047785 | California |
Profile Details
| NPI number | 1851440036 |
|---|---|
| LBN Legal business name | Agatep, Melvin Lazaro |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 9th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851440036 | NPPES |
| California | MEDICAID | 00A477850 |
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