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Contact Information

MANUEL J LIZARRAGA, SA-C
1274 N CRESCENT HEIGHTS BLVD APT 226
WEST HOLLYWOOD, CA90046-5061
 Phone: 786-508-8559
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical Assistant

246ZC0007X
Indicates primary specialty

NPI Profile & details for MANUEL J LIZARRAGA · (Male)

NPI # 1346738911
Status Active
Credentials SA-C
Entity Individual
Enumeration date 04/28/2018
Last updated 04/28/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 14-132
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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