Antonios, Marcos
Antonios, Marcos is an sole proprietor health care provider with primary practice located at 330 N Hayworth Ave , Los Angeles CA 90048-2702. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Antonios, Marcos can be contacted via phone (323) 852-9200.Contact Information
Primary practice address
330 N Hayworth Ave
Los Angeles CA 90048-2702
Phone: (323) 852-9200
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | AT2215 | California |
Profile Details
| NPI number | 1174175442 |
|---|---|
| LBN Legal business name | Antonios, Marcos |
| Credentials | PT ASSISTANT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 16th, 2019 |
| Last updated | Jul 16th, 2019 - about 6 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 | 1174175442 | NPPES |
| California | Other | A2484669 | STATE DRIVERS LICENSE |
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