Mares, Desiree
Mares, Desiree is an sole proprietor health care provider with primary practice located at 11541 Rosecrans Ave , Norwalk CA 90650-3898. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Mares, Desiree can be contacted via phone (625) 923-9414.Contact Information
Primary practice address
11541 Rosecrans Ave
Norwalk CA 90650-3898
Phone: (625) 923-9414
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X |
Profile Details
| NPI number | 1508319641 |
|---|---|
| LBN Legal business name | Mares, Desiree |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 25th, 2016 |
| Last updated | May 16th, 2024 - about last year |
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 | 1508319641 | NPPES |
| California | Other | 95-2633765 | MEDI-CAL |
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