Anzures, Luis Alberto
Anzures, Luis Alberto is an sole proprietor health care provider with primary practice located at 34101 Farenholt Ave , San Diego CA 92134-7000. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Anzures, Luis Alberto can be contacted via phone (619) 532-7968.Contact Information
Primary practice address
34101 Farenholt Ave
San Diego CA 92134-7000
Phone: (619) 532-7968
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Independent Duty Corpsman | 1710I1002X |
Profile Details
| NPI number | 1720640972 |
|---|---|
| LBN Legal business name | Anzures, Luis Alberto |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 8th, 2019 |
| Last updated | Jul 8th, 2019 - 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 | 1720640972 | NPPES |
| California | Other | 97869786 | IDC |
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