Arai Barrientos, Madoka
Arai Barrientos, Madoka is an sole proprietor health care provider with primary practice located at 8627 Atlantic Ave , South Gate CA 90280-3501. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Arai Barrientos, Madoka can be contacted via phone (888) 499-9303.Contact Information
Primary practice address
8627 Atlantic Ave
South Gate CA 90280-3501
Phone: (888) 499-9303
Fax: (323) 562-3903
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 95011268 | California |
Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 95011268 | California |
Profile Details
NPI number | 1124587514 |
---|---|
LBN Legal business name | Arai Barrientos, Madoka |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 15th, 2019 |
Last updated | Dec 20th, 2023 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1124587514 | NPPES |
California | Other | 95011268 | BOARD OF REGISTERED NURSING |
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