Grimes, Mark

Grimes, Mark is an sole proprietor health care provider with primary practice located at 1436 Goodrich Blvd , Commerce CA 90022-5111. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Grimes, Mark can be contacted via phone (323) 725-1337.

Contact Information

Primary practice address
1436 Goodrich Blvd Commerce CA 90022-5111
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1861797540
LBN Legal business name Grimes, Mark
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 11th, 2011
Last updated Jun 28th, 2023 - about last year

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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