Benavides, Alyssa M
Benavides, Alyssa M is an sole proprietor health care provider with primary practice located at 1151 Dove St , Newport Beach CA 92660-2840. She recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as her primary health care specialty. Benavides, Alyssa M can be contacted via phone (949) 630-8290.Contact Information
Primary practice address
1151 Dove St
Newport Beach CA 92660-2840
Phone: (949) 630-8290
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Community/Behavioral Health | 251S00000X |
Profile Details
| NPI number | 1851037428 |
|---|---|
| LBN Legal business name | Benavides, Alyssa M |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 6th, 2022 |
| Last updated | May 6th, 2022 - about 2 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 | 1851037428 | NPPES |
| California | Other | TYW851655172 | BLUE CROSS BLUE SHIELD |
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