Mariano, Myron C

Mariano, Myron C is an sole proprietor health care provider with primary practice located at 412 W Carroll Ave Suite 106, Glendora CA 91741-4240. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Mariano, Myron C can be contacted via phone (626) 963-6026.

Contact Information

Primary practice address
412 W Carroll Ave Suite 106 Glendora CA 91741-4240
Phone: (626) 963-6026
Fax: (626) 963-5094
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X L6241 Texas
Allopathic & Osteopathic Physicians / Surgery 208600000X G79760 California

Profile Details

NPI number 1457332975
LBN Legal business name Mariano, Myron C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 10th, 2005
Last updated Oct 27th, 2023 - about 3 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 1457332975 NPPES
Texas MEDICAID 16100901

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