Cifuentes, Juan C

Cifuentes, Juan C is an sole proprietor health care provider with primary practice located at 10938 Vanowen St , North Hollywood CA 91605-6407. He recently has only one registered license in Suppliers / Customized Equipment, which is considered as his primary health care specialty. Cifuentes, Juan C can be contacted via phone (818) 760-2461.

Contact Information

Primary practice address
10938 Vanowen St North Hollywood CA 91605-6407
Phone: (818) 760-2461
Fax: (818) 760-1105
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Customized Equipment 332BC3200X

Profile Details

NPI number 1265463905
LBN Legal business name Cifuentes, Juan C
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 5th, 2006
Last updated Dec 3rd, 2019 - about 7 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 1265463905 NPPES
California MEDICAID 1891872594

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