Maldonado, Marisol

Maldonado, Marisol is an sole proprietor health care provider with primary practice located at 11600 Eldridge Ave , Lake View Terrace CA 91342-6506. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Maldonado, Marisol can be contacted via phone (818) 686-3190.

Contact Information

Primary practice address
11600 Eldridge Ave Lake View Terrace CA 91342-6506
Phone: (818) 686-3190
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X RI-M0801291523 California

Profile Details

NPI number 1447412010
LBN Legal business name Maldonado, Marisol
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 25th, 2008
Last updated Jun 25th, 2008 - about 16 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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