Marisa, Charles

Marisa, Charles is an sole proprietor health care provider with primary practice located at 1126 N Grand Ave Suite D, Covina CA 91724-1551. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner is his primary health care specialty. Marisa, Charles can be contacted via phone (626) 967-1667.

Contact Information

Primary practice address
1126 N Grand Ave Suite D Covina CA 91724-1551
Phone: (626) 967-1667
Fax: (626) 967-6027
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X

Profile Details

NPI number 1821292459
LBN Legal business name Marisa, Charles
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 14th, 2007
Last updated Jul 6th, 2015 - about 9 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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