Brooks, Mark
Brooks, Mark is an sole proprietor health care provider with primary practice located at 1711 W Temple St , Los Angeles CA 90026-7329. He recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Brooks, Mark can be contacted via phone (213) 989-6160.Contact Information
Primary practice address
1711 W Temple St
Los Angeles CA 90026-7329
Phone: (213) 989-6160
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Psychiatric/Mental Health | 163WP0808X | 769425 | California |
Profile Details
NPI number | 1568168052 |
---|---|
LBN Legal business name | Brooks, Mark |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 6th, 2023 |
Last updated | Feb 17th, 2023 - 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 | 1568168052 | NPPES |
California | Other | NA | NON-MEDICARE |
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