De La Maza, Luis M
De La Maza, Luis M is an individual health care provider with primary practice located at Uci Medical Center 101 The City Drive South, Orange CA 92868. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. De La Maza, Luis M can be contacted via phone (714) 456-2986.Contact Information
Primary practice address
Uci Medical Center 101 The City Drive South
Orange CA 92868
Phone: (714) 456-2986
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 000000A35127 | California |
Profile Details
| NPI number | 1275613374 |
|---|---|
| LBN Legal business name | De La Maza, Luis M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 16th, 2006 |
| Last updated | Mar 25th, 2008 - about 16 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 | 1275613374 | NPPES |
| California | MEDICAID | 00A351270 | |
| California | Other | WA35127A | |
| California | Other | 00A351270 |
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