Caserio, Vincent Martin
Caserio, Vincent Martin is an individual health care provider with primary practice located at 11550 Indian Hills Rd Ste 261 , Mission Hills CA 91345-1244. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Caserio, Vincent Martin can be contacted via phone (818) 361-0917.Contact Information
Primary practice address
11550 Indian Hills Rd Ste 261
Mission Hills CA 91345-1244
Phone: (818) 361-0917
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA5670 | California |
Profile Details
| NPI number | 1417440603 |
|---|---|
| LBN Legal business name | Caserio, Vincent Martin |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 12th, 2018 |
| Last updated | Mar 15th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417440603 | NPPES |
| California | Other | PA55670 | STATE LICENSE |
| California | Other | 1152011 | STATE LICENSE |
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