Olivarez, Mark Vincent

Olivarez, Mark Vincent is an sole proprietor health care provider with primary practice located at 1817 N Kenwood St , Burbank CA 91505-1418. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Olivarez, Mark Vincent can be contacted via phone (323) 540-3417.

Contact Information

Primary practice address
1817 N Kenwood St Burbank CA 91505-1418
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 95005145 California

Profile Details

NPI number 1396295325
LBN Legal business name Olivarez, Mark Vincent
Credentials MSN FNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 14th, 2016
Last updated Oct 23rd, 2021 - about 5 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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