Del Valle, Juan Jorge

Del Valle, Juan Jorge is an sole proprietor health care provider with primary practice located at 1441 Florida Ave , Modesto CA 95350-4405. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Del Valle, Juan Jorge can be contacted via phone (209) 578-1211.

Contact Information

Primary practice address
1441 Florida Ave Modesto CA 95350-4405
Phone: (209) 578-1211
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A81970 California

Profile Details

NPI number 1740262229
LBN Legal business name Del Valle, Juan Jorge
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 18th, 2005
Last updated Mar 7th, 2023 - about 3 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 1740262229 NPPES
California Other 122664 BOARD CERTIFICATION #
California MEDICAID 00A819700 BOARD CERTIFICATION #
California Other 00A819700 BOARD CERTIFICATION #

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