Leiva, Marvin Enrique
Leiva, Marvin Enrique is an sole proprietor health care provider with primary practice located at 10605 Balboa Blvd #100, Granada Hills CA 91344-6342. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Nursing Service Providers / Psychiatric/Mental Health. Nursing Service Providers / Psychiatric/Mental Health is his primary health care specialty. Leiva, Marvin Enrique can be contacted via phone (818) 832-2400.Contact Information
Primary practice address
10605 Balboa Blvd #100
Granada Hills CA 91344-6342
Phone: (818) 832-2400
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 632444 | California |
| Nursing Service Providers / Psychiatric/Mental Health | 163WP0808X | 632444 | California |
Profile Details
| NPI number | 1336381557 |
|---|---|
| LBN Legal business name | Leiva, Marvin Enrique |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 2nd, 2009 |
| Last updated | Jun 9th, 2021 - about 5 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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