Alonzo, Marvin Andres
Alonzo, Marvin Andres is an sole proprietor health care provider with primary practice located at 1050 Lakes Dr Ste 225 , West Covina CA 91790-2910. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as his primary health care specialty. Alonzo, Marvin Andres can be contacted via phone (626) 940-5180.Contact Information
Primary practice address
1050 Lakes Dr Ste 225
West Covina CA 91790-2910
Phone: (626) 940-5180
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X |
Profile Details
| NPI number | 1033879135 |
|---|---|
| LBN Legal business name | Alonzo, Marvin Andres |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 30th, 2021 |
| Last updated | Dec 30th, 2021 - about 3 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 | 1033879135 | NPPES |
| California | Other | 82-1922692 | MEDICAL |
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