Mara, Virgil Evan Gealon

Mara, Virgil Evan Gealon is an sole proprietor health care provider with primary practice located at 11301 Wilshire Blvd , Los Angeles CA 90073-1003. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Respiratory Therapist, Registered, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Respiratory Therapist, Certified. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Respiratory Therapist, Certified is his primary health care specialty. Mara, Virgil Evan Gealon can be contacted via phone (310) 478-3711.

Contact Information

Primary practice address
11301 Wilshire Blvd Los Angeles CA 90073-1003
Phone: (310) 478-3711
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Respiratory Therapist, Registered 227900000X 137142 California
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Respiratory Therapist, Certified 227800000X 137142 California

Profile Details

NPI number 1336642784
LBN Legal business name Mara, Virgil Evan Gealon
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 12th, 2018
Last updated Mar 12th, 2018 - about 8 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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