Quiboloy, Winrich L

Quiboloy, Winrich L is an individual health care provider with primary practice located at 7155 Van Nuys Blvd , Van Nuys CA 91405-3006. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Quiboloy, Winrich L can be contacted via phone (818) 989-4281.

Contact Information

Primary practice address
7155 Van Nuys Blvd Van Nuys CA 91405-3006
Fax: (818) 989-5508
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 60007 California

Profile Details

NPI number 1629350772
LBN Legal business name Quiboloy, Winrich L
Credentials PHARM.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2011
Last updated Sep 14th, 2011 - 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 1629350772 NPPES
California MEDICAID PHA449960

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