Mancilla, Jose Luis

Mancilla, Jose Luis is an individual health care provider with primary practice located at 30250 Rancho Viejo Rd Ste A , San Juan Capistrano CA 92675-1555. He recently has only one registered license in Speech, Language and Hearing Service Providers / Hearing Instrument Specialist, which is considered as his primary health care specialty. Mancilla, Jose Luis can be contacted via phone (949) 489-0668.

Contact Information

Primary practice address
30250 Rancho Viejo Rd Ste A San Juan Capistrano CA 92675-1555
Phone: (949) 489-0668
Fax: (949) 489-1475
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X 7903 California

Profile Details

NPI number 1912582289
LBN Legal business name Mancilla, Jose Luis
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2021
Last updated May 5th, 2021 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1912582289 NPPES
California Other 7903 HEARING INSTRUMENT SPECIALIST

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