Amparo, Mark A
Amparo, Mark A is an sole proprietor health care provider with primary practice located at 5222 Balboa Ave Ste 33 , San Diego CA 92117-6953. He recently has only one registered license in Behavioral Health & Social Service Providers / Health Service, which is considered as his primary health care specialty. Amparo, Mark A can be contacted via phone (858) 874-8868.Contact Information
Primary practice address
5222 Balboa Ave Ste 33
San Diego CA 92117-6953
Phone: (858) 874-8868
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Health Service | 103TH0100X |
Profile Details
| NPI number | 1396374054 |
|---|---|
| LBN Legal business name | Amparo, Mark A |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 5th, 2020 |
| Last updated | Apr 5th, 2020 - about 5 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 | 1396374054 | NPPES |
| California | MEDICAID | 91202202F80050 |
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