Bobadilla, Vicky
Bobadilla, Vicky is an individual health care provider with primary practice located at 168 North Brent Street Suite 404, Ventura CA 93003. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Bobadilla, Vicky can be contacted via phone (805) 240-7547.Contact Information
Primary practice address
168 North Brent Street Suite 404
Ventura CA 93003
Phone: (805) 240-7547
Fax: (855) 522-2245
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 18754 | California |
Profile Details
| NPI number | 1447392022 |
|---|---|
| LBN Legal business name | Bobadilla, Vicky |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 12th, 2007 |
| Last updated | Dec 21st, 2016 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447392022 | NPPES |
| California | MEDICAID | RHM08609F | |
| California | MEDICAID | ZZT40394F | |
| California | MEDICAID | RHM18553H | |
| California | Other | 18754 | |
| California | MEDICAID | RHM08608F | |
| California | Other | 95-1683892 |
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