Marin, John J
Marin, John J is an sole proprietor health care provider with primary practice located at 3080 La Selva St , San Mateo CA 94403-2109. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Marin, John J can be contacted via phone (650) 573-2944.Contact Information
Primary practice address
3080 La Selva St
San Mateo CA 94403-2109
Phone: (650) 573-2944
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | MFC40656 | California |
Profile Details
| NPI number | 1326103300 |
|---|---|
| LBN Legal business name | Marin, John J |
| Credentials | Marriage and Family Therapist (MFT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 27th, 2006 |
| Last updated | Jul 9th, 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 | 1326103300 | NPPES |
| California | MEDICAID | 60110 |
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