Flores, Maryse Guevara

Flores, Maryse Guevara is an individual health care provider with primary practice located at 1433 W Merced Ave Ste 114 , West Covina CA 91790-3402. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Flores, Maryse Guevara can be contacted via phone (626) 960-4989.

Contact Information

Primary practice address
1433 W Merced Ave Ste 114 West Covina CA 91790-3402
Fax: (626) 960-5520
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 814402 California

Profile Details

NPI number 1497452957
LBN Legal business name Flores, Maryse Guevara
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2023
Last updated Feb 21st, 2023 - about 3 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 1497452957 NPPES
California MEDICAID 814402

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