Bajamundi, Keith William
Bajamundi, Keith William is an sole proprietor health care provider with primary practice located at 7282 El Cielo Cir , Buena Park CA 90620-2612. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Bajamundi, Keith William can be contacted via phone (714) 515-0538.Contact Information
Primary practice address
7282 El Cielo Cir
Buena Park CA 90620-2612
Phone: (714) 515-0538
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | 95047739 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 95047739 | California |
Profile Details
| NPI number | 1558991844 |
|---|---|
| LBN Legal business name | Bajamundi, Keith William |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 25th, 2020 |
| Last updated | Dec 12th, 2021 - about 5 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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