Cisneros, Monica Jasmine

Cisneros, Monica Jasmine is an individual health care provider with primary practice located at 1600 Buchanan Rd Apt 14 , Antioch CA 94509-4241. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Mental Health, which is considered as her primary health care specialty. Cisneros, Monica Jasmine can be contacted via phone (925) 529-2183.

Contact Information

Primary practice address
1600 Buchanan Rd Apt 14 Antioch CA 94509-4241
Phone: (925) 529-2183
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Mental Health 225XM0800X

Profile Details

NPI number 1922656636
LBN Legal business name Cisneros, Monica Jasmine
Credentials N/A
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 27th, 2019
Last updated Aug 27th, 2019 - about 5 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 1922656636 NPPES
California MEDICAID 6555555555

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