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:
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Health care specialties

SpecialtyCodeLicense #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 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1811972847 NPPES
California MEDICAID 00A447970

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