Randeria, Purvisa

Randeria, Purvisa is an individual health care provider with primary practice located at 3001 Foothill Blvd , La Crescenta CA 91214-2714. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Randeria, Purvisa can be contacted via phone (818) 541-7840.

Contact Information

Primary practice address
3001 Foothill Blvd La Crescenta CA 91214-2714
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 55010 California

Profile Details

NPI number 1356625958
LBN Legal business name Randeria, Purvisa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 1st, 2011
Last updated Dec 26th, 2022 - 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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