Mares, Miguel Angel

Mares, Miguel Angel is an sole proprietor health care provider with primary practice located at 795 Willow Rd Building 324, Office # B147, Menlo Park CA 94025-2539. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Mares, Miguel Angel can be contacted via phone (650) 493-5000.

Contact Information

Primary practice address
795 Willow Rd Building 324, Office # B147 Menlo Park CA 94025-2539
Phone: (650) 493-5000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 22083 California

Profile Details

NPI number 1295914778
LBN Legal business name Mares, Miguel Angel
Credentials ASW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 31st, 2007
Last updated Jan 3rd, 2012 - about 13 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 1295914778 NPPES
California Other 22083 ASW

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