Arevalo, Marvyn

Arevalo, Marvyn is an individual health care provider with primary practice located at 1415 Fruitvale Ave , Oakland CA 94601-2320. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Arevalo, Marvyn can be contacted via phone (510) 535-6200.

Contact Information

Primary practice address
1415 Fruitvale Ave Oakland CA 94601-2320
Phone: (510) 535-6200
Fax: (510) 535-4167
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1154635894
LBN Legal business name Arevalo, Marvyn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2010
Last updated Aug 5th, 2010 - about 15 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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