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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 2 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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