Arevalo, Pablo A
Arevalo, Pablo A is an sole proprietor health care provider with primary practice located at 3400 E Florence Ave Suite A, Huntington Park CA 90255-5835. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Arevalo, Pablo A can be contacted via phone (323) 588-5157.Contact Information
Primary practice address
3400 E Florence Ave Suite A
Huntington Park CA 90255-5835
Phone: (323) 588-5157
Fax: (323) 588-6878
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | A44797 | California |
Profile Details
| NPI number | 1811972847 |
|---|---|
| LBN Legal business name | Arevalo, Pablo A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 13th, 2005 |
| Last updated | Aug 19th, 2013 - about 11 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 | 1811972847 | NPPES |
| California | MEDICAID | 00A447970 |
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