David, Dwight A

David, Dwight A is an individual health care provider with primary practice located at 15111 Whittier Blvd Ste 102, Whittier CA 90603-2136. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. David, Dwight A can be contacted via phone (562) 945-6440.

Contact Information

Primary practice address
15111 Whittier Blvd Ste 102 Whittier CA 90603-2136
Phone: (562) 945-6440
Fax: (562) 945-9121
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X A40764 California

Profile Details

NPI number 1487653531
LBN Legal business name David, Dwight A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2005
Last updated Dec 7th, 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 1487653531 NPPES
California Other 00A407640 BLUE SHIELD
California Other A40764 BLUE SHIELD
California Other B010 BLUE SHIELD
California MEDICAID 00A407640 BLUE SHIELD
California Other 110232328 BLUE SHIELD

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