Alatriste, Ricardo Ivan

Alatriste, Ricardo Ivan is an sole proprietor health care provider with primary practice located at 2450 S Shenandoah St , Los Angeles CA 90034-2026. He recently has only one registered license in Nursing Service Providers / School, which is considered as his primary health care specialty. Alatriste, Ricardo Ivan can be contacted via phone (747) 254-0515.

Contact Information

Primary practice address
2450 S Shenandoah St Los Angeles CA 90034-2026
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / School 163WS0200X 041459379 Illinois
Nursing Service Providers / School 163WS0200X RN72054 Maine
Nursing Service Providers / School 163WS0200X 95149758 California

Profile Details

NPI number 1871064220
LBN Legal business name Alatriste, Ricardo Ivan
Credentials BSN RN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 11th, 2018
Last updated Dec 11th, 2018 - about 7 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 1871064220 NPPES
California MEDICAID 90042082E

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