Peredo, Marvin

Peredo, Marvin is an sole proprietor health care provider with primary practice located at 13171 Mindanao Way , Marina Del Rey CA 90292-6307. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Peredo, Marvin can be contacted via phone (310) 502-2318.

Contact Information

Primary practice address
13171 Mindanao Way Marina Del Rey CA 90292-6307
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 77219 California

Profile Details

NPI number 1598277733
LBN Legal business name Peredo, Marvin
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 27th, 2017
Last updated Oct 27th, 2017 - about 9 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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