Mintz, Alan C
Mintz, Alan C is an sole proprietor health care provider with primary practice located at 2190 Lynn Rd Ste 320, Thousand Oaks CA 91360-8026. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Mintz, Alan C can be contacted via phone (805) 279-8040.Contact Information
Primary practice address
2190 Lynn Rd Ste 320
Thousand Oaks CA 91360-8026
Phone: (805) 279-8040
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | G96431 | California |
Profile Details
| NPI number | 1396786497 |
|---|---|
| LBN Legal business name | Mintz, Alan C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 9th, 2006 |
| Last updated | Nov 1st, 2021 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396786497 | NPPES |
| California | MEDICAID | 00G694312 |
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