Kiriakos, Peter John

Kiriakos, Peter John is an individual health care provider with primary practice located at 31760 Casino Dr , Lake Elsinore CA 92530-2313. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Kiriakos, Peter John can be contacted via phone (951) 471-4600.

Contact Information

Primary practice address
31760 Casino Dr Lake Elsinore CA 92530-2313
Phone: (951) 471-4600
Fax: (951) 471-4623
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1568015253
LBN Legal business name Kiriakos, Peter John
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2019
Last updated Jul 22nd, 2019 - about 6 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 1568015253 NPPES
California MEDICAID 0

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