Porcayo, Miguel

Porcayo, Miguel is an individual health care provider with primary practice located at 2580 Lake Tahoe Blvd Ste D , South Lake Tahoe CA 96150-7723. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Porcayo, Miguel can be contacted via phone (530) 544-2111.

Contact Information

Primary practice address
2580 Lake Tahoe Blvd Ste D South Lake Tahoe CA 96150-7723
Phone: (530) 544-2111
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 113962 California

Profile Details

NPI number 1316670649
LBN Legal business name Porcayo, Miguel
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2022
Last updated Jul 5th, 2023 - about last year

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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