Avila, Therese Marcella
Avila, Therese Marcella is an sole proprietor health care provider with primary practice located at 2183 Fairview Rd Ste 100, Costa Mesa CA 92627-5663. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Avila, Therese Marcella can be contacted via phone (949) 515-5440.Contact Information
Primary practice address
2183 Fairview Rd Ste 100
Costa Mesa CA 92627-5663
Phone: (949) 515-5440
Fax: (949) 515-5440
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1629263967 |
|---|---|
| LBN Legal business name | Avila, Therese Marcella |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 10th, 2007 |
| Last updated | Sep 10th, 2007 - about 17 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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