Davalos, Maria

Davalos, Maria is an individual health care provider with primary practice located at 17707 Studebaker Rd , Cerritos CA 90703-2640. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Davalos, Maria can be contacted via phone (562) 402-0688.

Contact Information

Primary practice address
17707 Studebaker Rd Cerritos CA 90703-2640
Phone: (562) 402-0688
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1194944041
LBN Legal business name Davalos, Maria
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2007
Last updated Apr 10th, 2014 - about 12 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 1194944041 NPPES
California MEDICAID 7006
California Other 609970

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