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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 9 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.

Request for update

Popular Providers