Martinez, Eloisa Sevilla

Martinez, Eloisa Sevilla is an sole proprietor health care provider with primary practice located at 15305 Rayen St , North Hills CA 91343-5117. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Community Health Worker, Other Service Providers / Peer Specialist. Other Service Providers / Peer Specialist is her primary health care specialty. Martinez, Eloisa Sevilla can be contacted via phone (818) 892-3423.

Contact Information

Primary practice address
15305 Rayen St North Hills CA 91343-5117
Phone: (818) 892-3423
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Other Service Providers / Community Health Worker 172V00000X
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1366199242
LBN Legal business name Martinez, Eloisa Sevilla
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 9th, 2022
Last updated Sep 25th, 2023 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366199242 NPPES
California Other 95-2633765 MEDICAL

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