Mahoney, Alvin R
Mahoney, Alvin R is an sole proprietor health care provider with primary practice located at 14850 Roscoe Blvd , Panorama City CA 91402-4618. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Mahoney, Alvin R can be contacted via phone (818) 904-3635.Contact Information
Primary practice address
14850 Roscoe Blvd
Panorama City CA 91402-4618
Phone: (818) 904-3635
Fax: (888) 235-1709
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | G59931 | California |
Profile Details
| NPI number | 1447257845 |
|---|---|
| LBN Legal business name | Mahoney, Alvin R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 30th, 2005 |
| Last updated | Jun 21st, 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 | 1447257845 | NPPES |
| California | MEDICAID | 00G599310 |
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