Lira, Peter M
Lira, Peter M is an sole proprietor health care provider with primary practice located at 1550 S Anaheim Blvd Suite G, Anaheim CA 92805-6218. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Prosthetics Case Management, Other Service Providers / Specialist. Other Service Providers / Prosthetics Case Management is his primary health care specialty. Lira, Peter M can be contacted via phone (562) 355-0279.Contact Information
Primary practice address
1550 S Anaheim Blvd Suite G
Anaheim CA 92805-6218
Phone: (562) 355-0279
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Prosthetics Case Management | 1744P3200X | CO3156 | California |
| Other Service Providers / Specialist | 174400000X | CO0003156 | California |
Profile Details
| NPI number | 1093773236 |
|---|---|
| LBN Legal business name | Lira, Peter M |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 3rd, 2006 |
| Last updated | Jun 17th, 2011 - about 13 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 | 1093773236 | NPPES |
| California | Other | CO0003156 | ABC CERTIFICATE |
| California | MEDICAID | X60007611 | ABC CERTIFICATE |
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