Pelayo, Maria Elisa
Pelayo, Maria Elisa is an individual health care provider with primary practice located at 2008 N Garey Ave , Pomona CA 91767-2722. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Community Health Worker, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Community Health Worker is her primary health care specialty. Pelayo, Maria Elisa can be contacted via phone (909) 623-6131.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Community Health Worker | 172V00000X | ||
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
| NPI number | 1770063695 |
|---|---|
| LBN Legal business name | Pelayo, Maria Elisa |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 20th, 2018 |
| Last updated | Jun 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770063695 | NPPES |
| California | MEDICAID | 7068 | |
| California | MEDICAID | 7420 | |
| California | MEDICAID | 6758 |
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