Search › California › 101YA0400X
Mario Mijares, CCS ADC II
NPI 1164934592 · on the registry since 2017 · sole proprietor
Practice
- Address
- 1648 Avenida Andante
Oceanside, CA 92056 - Phone
- (808) 721-9634
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- ZZ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2017-10-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California