Antonio, Marco
Antonio, Marco is an sole proprietor health care provider with primary practice located at 11611 San Vicente Blvd , Los Angeles CA 90049-5106. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as his primary health care specialty. Antonio, Marco can be contacted via phone (925) 476-1767.Contact Information
Primary practice address
11611 San Vicente Blvd
Los Angeles CA 90049-5106
Phone: (925) 476-1767
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | 91285 | California |
Profile Details
| NPI number | 1245090745 |
|---|---|
| LBN Legal business name | Antonio, Marco |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 21st, 2024 |
| Last updated | Mar 22nd, 2024 - about last year |
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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