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Contact Information

MARK A AMPARO
5222 BALBOA AVE STE 33
SAN DIEGO, CA92117-6953
 Phone: 858-874-8868
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Health Service

103TH0100X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for MARK A AMPARO · (Male)

NPI Number 1396374054
Status Active
Credentials
Entity Individual
Enumeration date 04/05/2020
Last updated 04/05/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • CA Medicaid 91202202F80050
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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