Mena, Raul R

Mena, Raul R is an individual health care provider with primary practice located at 181 S Buena Vista St 4Rth Floor, Burbank CA 91505-4504. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Mena, Raul R can be contacted via phone (818) 840-0921.

Contact Information

Primary practice address
181 S Buena Vista St 4Rth Floor Burbank CA 91505-4504
Phone: (818) 840-0921
Fax: (818) 840-7064
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X G32448 California

Profile Details

NPI number 1609892256
LBN Legal business name Mena, Raul R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2006
Last updated Oct 10th, 2011 - about 15 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 1609892256 NPPES
California MEDICAID OOG324480

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