Lira, Peter M

Lira, Peter M is an sole proprietor health care provider with primary practice located at 1550 S Anaheim Blvd Suite G, Anaheim CA 92805-6218. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Prosthetics Case Management, Other Service Providers / Specialist. Other Service Providers / Prosthetics Case Management is his primary health care specialty. Lira, Peter M can be contacted via phone (562) 355-0279.

Contact Information

Primary practice address
1550 S Anaheim Blvd Suite G Anaheim CA 92805-6218
Phone: (562) 355-0279
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Prosthetics Case Management 1744P3200X CO3156 California
Other Service Providers / Specialist 174400000X CO0003156 California

Profile Details

NPI number 1093773236
LBN Legal business name Lira, Peter M
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 3rd, 2006
Last updated Jun 17th, 2011 - about 15 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 1093773236 NPPES
California Other CO0003156 ABC CERTIFICATE
California MEDICAID X60007611 ABC CERTIFICATE

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