Calderon, Phyllis Pamela
Calderon, Phyllis Pamela is an sole proprietor health care provider with primary practice located at 4626 N Grand Ave , Covina CA 91724-2055. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Calderon, Phyllis Pamela can be contacted via phone (626) 331-5316.Contact Information
Primary practice address
4626 N Grand Ave
Covina CA 91724-2055
Phone: (626) 331-5316
Fax: (626) 332-2219
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | California |
Profile Details
| NPI number | 1659610988 |
|---|---|
| LBN Legal business name | Calderon, Phyllis Pamela |
| Credentials | CAS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 6th, 2013 |
| Last updated | Dec 13th, 2016 - about 8 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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