Buenrostro, Angelica

Buenrostro, Angelica is an individual health care provider with primary practice located at 609 E Orangeburg Ave Ste 201 , Modesto CA 95350. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Buenrostro, Angelica can be contacted via phone (209) 572-3224.

Contact Information

Primary practice address
609 E Orangeburg Ave Ste 201 Modesto CA 95350
Phone: (209) 572-3224
Fax: (209) 572-4528
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA18306 California

Profile Details

NPI number 1720052418
LBN Legal business name Buenrostro, Angelica
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2006
Last updated Mar 7th, 2023 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1720052418 NPPES
California Other 1068658 NCCPA CERTIFICATION
California Other PA18306 NCCPA CERTIFICATION

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