Mercado, Marcus Allan Perreras

Mercado, Marcus Allan Perreras is an individual health care provider with primary practice located at 2175 Park Pl , El Segundo CA 90245-4705. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Mercado, Marcus Allan Perreras can be contacted via phone (310) 920-1130.

Contact Information

Primary practice address
2175 Park Pl El Segundo CA 90245-4705
Phone: (310) 920-1130
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 95000176 California

Profile Details

NPI number 1760896336
LBN Legal business name Mercado, Marcus Allan Perreras
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2014
Last updated Dec 18th, 2023 - about 2 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 1760896336 NPPES
California Other NP95000176 CA BOARD OF NURSING NP LICENSE #
California Other F1219691 CA BOARD OF NURSING NP LICENSE #

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