Caserio, Vincent Martin

Caserio, Vincent Martin is an individual health care provider with primary practice located at 11550 Indian Hills Rd Ste 261 , Mission Hills CA 91345-1244. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Caserio, Vincent Martin can be contacted via phone (818) 361-0917.

Contact Information

Primary practice address
11550 Indian Hills Rd Ste 261 Mission Hills CA 91345-1244
Phone: (818) 361-0917
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA5670 California

Profile Details

NPI number 1417440603
LBN Legal business name Caserio, Vincent Martin
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2018
Last updated Mar 15th, 2021 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1417440603 NPPES
California Other PA55670 STATE LICENSE
California Other 1152011 STATE LICENSE

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