Coriolan, Paul
Coriolan, Paul is an individual health care provider with primary practice located at 100 W California Blvd , Pasadena CA 91105-3010. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Coriolan, Paul can be contacted via phone (626) 397-5116.Contact Information
Primary practice address
100 W California Blvd
Pasadena CA 91105-3010
Phone: (626) 397-5116
Fax: (626) 397-2981
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA13933 | California |
Profile Details
| NPI number | 1285686162 |
|---|---|
| LBN Legal business name | Coriolan, Paul |
| Credentials | PAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 17th, 2006 |
| Last updated | Apr 9th, 2009 - about 17 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 | 1285686162 | NPPES |
| California | MEDICAID | PA13933 |
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