Alonzo, Marvin Andres

Alonzo, Marvin Andres is an sole proprietor health care provider with primary practice located at 1050 Lakes Dr Ste 225 , West Covina CA 91790-2910. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as his primary health care specialty. Alonzo, Marvin Andres can be contacted via phone (626) 940-5180.

Contact Information

Primary practice address
1050 Lakes Dr Ste 225 West Covina CA 91790-2910
Phone: (626) 940-5180
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1033879135
LBN Legal business name Alonzo, Marvin Andres
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 30th, 2021
Last updated Dec 30th, 2021 - about 5 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 1033879135 NPPES
California Other 82-1922692 MEDICAL

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