Dedios, Marc Franz Rivera
Dedios, Marc Franz Rivera is an sole proprietor health care provider with primary practice located at 35000 Guadalcanal St , San Diego CA 92140-5599. He recently has 3 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Computed Tomography, Technologists, Technicians & Other Technical Service Providers / Radiography, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Dedios, Marc Franz Rivera can be contacted via phone (619) 524-4045.Contact Information
Primary practice address
35000 Guadalcanal St
San Diego CA 92140-5599
Phone: (619) 524-4045
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Technologists, Technicians & Other Technical Service Providers / Computed Tomography | 2471C3401X | 535689 | California |
| Technologists, Technicians & Other Technical Service Providers / Radiography | 2471C3402X | 535689 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X |
Profile Details
| NPI number | 1932817194 |
|---|---|
| LBN Legal business name | Dedios, Marc Franz Rivera |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 7th, 2022 |
| Last updated | Jun 24th, 2024 - about last year |
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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