Cochran, Angela Jo

Cochran, Angela Jo is an individual health care provider with primary practice located at 9089 Baseline Rd Suite 100, Rancho Cucamonga CA 91730-1295. 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. Cochran, Angela Jo can be contacted via phone (909) 483-0505.

Contact Information

Primary practice address
9089 Baseline Rd Suite 100 Rancho Cucamonga CA 91730-1295
Phone: (909) 483-0505
Fax: (909) 483-0508
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA14733 California

Profile Details

NPI number 1316155310
LBN Legal business name Cochran, Angela Jo
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2007
Last updated Feb 10th, 2014 - about 12 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 1316155310 NPPES
California Other S69264 UPIN

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