Penaloza, Marisol
Penaloza, Marisol is an individual health care provider with primary practice located at 1000 Goodrich Blvd , Commerce CA 90022-5103. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Penaloza, Marisol can be contacted via phone (323) 832-9795.Contact Information
Primary practice address
1000 Goodrich Blvd
Commerce CA 90022-5103
Phone: (323) 832-9795
Fax: (323) 832-9796
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
| NPI number | 1518090059 |
|---|---|
| LBN Legal business name | Penaloza, Marisol |
| Credentials | Bachelor of Arts (BA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 13th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1518090059 | NPPES |
| California | Other | ENK1538 | LA DEPT. OF MENTAL HEALTH |
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