Alvisse, Carlo S
Alvisse, Carlo S is an individual health care provider with primary practice located at 7133 Sepulveda Blvd , Van Nuys CA 91405-2930. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Alvisse, Carlo S can be contacted via phone (818) 988-8184.Contact Information
Primary practice address
7133 Sepulveda Blvd
Van Nuys CA 91405-2930
Phone: (818) 988-8184
Fax: (818) 988-8727
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 54568 | California |
Profile Details
| NPI number | 1982740296 |
|---|---|
| LBN Legal business name | Alvisse, Carlo S |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 30th, 2007 |
| Last updated | Mar 9th, 2015 - about 9 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 | 1982740296 | NPPES |
| California | MEDICAID | D54568 |
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