Cevallos, James E

Cevallos, James E is an individual health care provider with primary practice located at 4004 Beyer Blvd , San Ysidro CA 92173-2007. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Cevallos, James E can be contacted via phone (619) 428-4463.

Contact Information

Primary practice address
4004 Beyer Blvd San Ysidro CA 92173-2007
Phone: (619) 428-4463
Fax: (619) 428-2625
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A55469 California

Profile Details

NPI number 1720181829
LBN Legal business name Cevallos, James E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 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 1720181829 NPPES
Other FHC18880F MEDI-CAL

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