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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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 4 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 1396374054 NPPES
California MEDICAID 91202202F80050

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