Nievera, Patrick P

Nievera, Patrick P is an individual health care provider with primary practice located at 1016 N Orange Grove Ave , West Hollywood CA 90046-6127. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Nievera, Patrick P can be contacted via phone (626) 318-8036.

Contact Information

Primary practice address
1016 N Orange Grove Ave West Hollywood CA 90046-6127
Phone: (626) 318-8036
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 37730 California

Profile Details

NPI number 1669738167
LBN Legal business name Nievera, Patrick P
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 9th, 2012
Last updated Apr 9th, 2012 - about 13 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 1669738167 NPPES
California MEDICAID 37730

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