Canedo, Luara
Canedo, Luara is an individual health care provider with primary practice located at 830 University Ave , Berkeley CA 94710-2044. She recently has only one registered license in Other Service Providers / Health Educator, which is considered as her primary health care specialty. Canedo, Luara can be contacted via phone (510) 981-5399.Contact Information
Primary practice address
830 University Ave
Berkeley CA 94710-2044
Phone: (510) 981-5399
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Health Educator | 174H00000X |
Profile Details
| NPI number | 1972012664 |
|---|---|
| LBN Legal business name | Canedo, Luara |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 25th, 2017 |
| Last updated | Sep 25th, 2017 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972012664 | NPPES |
| California | MEDICAID | 1902944796 |
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