Porraz, Marissa
Porraz, Marissa is an sole proprietor health care provider with primary practice located at 27261 Las Ramblas Ste 220 , Mission Viejo CA 92691-6468. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Other Service Providers / Peer Specialist. Other Service Providers / Peer Specialist is her primary health care specialty. Porraz, Marissa can be contacted via phone (760) 669-4038.Contact Information
Primary practice address
27261 Las Ramblas Ste 220
Mission Viejo CA 92691-6468
Phone: (760) 669-4038
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Social Worker | 104100000X | ||
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X | ||
Other Service Providers / Peer Specialist | 175T00000X |
Profile Details
NPI number | 1205354362 |
---|---|
LBN Legal business name | Porraz, Marissa |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 8th, 2017 |
Last updated | Sep 8th, 2017 - about 8 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 | 1205354362 | NPPES |
California | Other | F2715197 | SOUTH COAST COMMUNITY SERVICES |
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