Manila, Greta G.

Manila, Greta G. is an sole proprietor health care provider with primary practice located at 1500 Duarte Rd , Duarte CA 91010-3012. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Manila, Greta G. can be contacted via phone (626) 256-4673.

Contact Information

Primary practice address
1500 Duarte Rd Duarte CA 91010-3012
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NP 12679 California

Profile Details

NPI number 1508962655
LBN Legal business name Manila, Greta G.
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 16th, 2006
Last updated Dec 16th, 2020 - 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 1508962655 NPPES
California Other 1902846306 GROUP NPI
California Other GR0100430 GROUP NPI
California Other 800275979 GROUP NPI
California Other W18762 GROUP NPI

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