Calderon, Octavio

Calderon, Octavio is an individual health care provider with primary practice located at 409 N Pacific Coast Hwy , Redondo Beach CA 90277-2870. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Electroneurodiagnostic, which is considered as his primary health care specialty. Calderon, Octavio can be contacted via phone (214) 269-3875.

Contact Information

Primary practice address
409 N Pacific Coast Hwy Redondo Beach CA 90277-2870
Phone: (214) 269-3875
Fax: (903) 328-6568
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Electroneurodiagnostic 246ZE0600X

Profile Details

NPI number 1215479712
LBN Legal business name Calderon, Octavio
Credentials CNIM
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2016
Last updated Nov 15th, 2016 - about 9 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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