Makrmalla, Kerollos

Makrmalla, Kerollos is an individual health care provider with primary practice located at 17272 Newhope St , Fountain Valley CA 92708-4210. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Makrmalla, Kerollos can be contacted via phone (714) 942-4500.

Contact Information

Primary practice address
17272 Newhope St Fountain Valley CA 92708-4210
Phone: (714) 942-4500
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 2000038431 California

Profile Details

NPI number 1700461480
LBN Legal business name Makrmalla, Kerollos
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2021
Last updated Mar 14th, 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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