Mabasa, Virginia
Mabasa, Virginia is an individual health care provider with primary practice located at 1017 S Fair Oaks Ave , Pasadena CA 91105-2621. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Mabasa, Virginia can be contacted via phone (626) 403-6200.Contact Information
Primary practice address
1017 S Fair Oaks Ave
Pasadena CA 91105-2621
Phone: (626) 403-6200
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA16259 | California |
Profile Details
| NPI number | 1922082924 |
|---|---|
| LBN Legal business name | Mabasa, Virginia |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 2nd, 2005 |
| Last updated | Apr 9th, 2012 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922082924 | NPPES |
| California | Other | PA16259 | LICENSE |
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