Malana, Zozimo R
Malana, Zozimo R is an individual health care provider with primary practice located at 12234 Clydesdale Dr , Rancho Cucamonga CA 91739-9041. He recently has only one registered license in Other Service Providers / Driver, which is considered as his primary health care specialty. Malana, Zozimo R can be contacted via phone (909) 899-0157.Contact Information
Primary practice address
12234 Clydesdale Dr
Rancho Cucamonga CA 91739-9041
Phone: (909) 899-0157
Fax: (909) 463-9242
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Driver | 172A00000X |
Profile Details
| NPI number | 1760565832 |
|---|---|
| LBN Legal business name | Malana, Zozimo R |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 23rd, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1760565832 | NPPES |
| California | MEDICAID | MTN01121F |
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