Maldonado, Mary Teresa
Maldonado, Mary Teresa is an sole proprietor health care provider with primary practice located at 2525 Grand Ave , Long Beach CA 90815-1765. 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, Mary Teresa can be contacted via phone (562) 570-4100.Contact Information
Primary practice address
2525 Grand Ave
Long Beach CA 90815-1765
Phone: (562) 570-4100
Fax: (562) 570-4194
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | California |
Profile Details
| NPI number | 1447464870 |
|---|---|
| LBN Legal business name | Maldonado, Mary Teresa |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 8th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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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