Madrid, Cecelia Theresa
Madrid, Cecelia Theresa is an sole proprietor health care provider with primary practice located at 2701 W Alameda Ave Ste 500 , Burbank CA 91505-4410. She recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gastroenterology, Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Madrid, Cecelia Theresa can be contacted via phone (818) 567-6550.Contact Information
Primary practice address
2701 W Alameda Ave Ste 500
Burbank CA 91505-4410
Phone: (818) 567-6550
Fax: (818) 558-4379
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | G48480 | California |
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | G48480 | California |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | G48480 | California |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | G48480 | California |
Profile Details
| NPI number | 1043363872 |
|---|---|
| LBN Legal business name | Madrid, Cecelia Theresa |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 18th, 2007 |
| Last updated | Feb 20th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043363872 | NPPES |
| California | Other | 00G484800 | BLUE SHIELD |
| California | MEDICAID | 00G484800 | BLUE SHIELD |
| California | Other | 95 4245140 | BLUE SHIELD |
| California | Other | 954245140 | BLUE SHIELD |
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