Mires, Marlene E
Mires, Marlene E is an individual health care provider with primary practice located at 955 W Imperial Hwy Ste 200 , Brea CA 92821-3812. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Mires, Marlene E can be contacted via phone (714) 449-6900.Contact Information
Primary practice address
955 W Imperial Hwy Ste 200
Brea CA 92821-3812
Phone: (714) 449-6900
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | A90607 | California |
Profile Details
| NPI number | 1235185976 |
|---|---|
| LBN Legal business name | Mires, Marlene E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 25th, 2006 |
| Last updated | Nov 8th, 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 | 1235185976 | NPPES |
| California | Other | A90607 | LICENSE |
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