Cespon, Polieno A

Cespon, Polieno A is an sole proprietor health care provider with primary practice located at 1825 Via Del Rey St , South Pasadena CA 91030-4151. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Cespon, Polieno A can be contacted via phone (323) 344-0018.

Contact Information

Primary practice address
1825 Via Del Rey St South Pasadena CA 91030-4151
Phone: (323) 344-0018
Fax: (323) 344-0018
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X A22356 California

Profile Details

NPI number 1427125871
LBN Legal business name Cespon, Polieno A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 29th, 2006
Last updated Jul 8th, 2007 - about 19 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 1427125871 NPPES
California MEDICAID 0A223560

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