Individual
MR. BIEN LEGASPI CARLOS SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12818 BLOOMFIELD AVE, NORWALK, CA 90650-3247
(562) 290-9984
Mailing address
12818 BLOOMFIELD AVE, NORWALK, CA 90650-3247
(562) 290-9984
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
D4148764
CA
174200000X
Meals Provider
P027738
CA
374700000X
Technician
Primary
P027738
CA
Other
Enumeration date
08/08/2023
Last updated
08/09/2023
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