Penales, Venn Wilfred Maderazo
Penales, Venn Wilfred Maderazo is an sole proprietor health care provider with primary practice located at 265 S Anita Dr Ste 102-104 , Orange CA 92868-3355. He recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Penales, Venn Wilfred Maderazo can be contacted via phone (310) 945-3350.Contact Information
Primary practice address
265 S Anita Dr Ste 102-104
Orange CA 92868-3355
Phone: (310) 945-3350
Fax: (310) 945-3356
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Psychiatric/Mental Health | 163WP0808X | 95345111 | California |
Profile Details
| NPI number | 1386233906 |
|---|---|
| LBN Legal business name | Penales, Venn Wilfred Maderazo |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 18th, 2021 |
| Last updated | Dec 12th, 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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