Garaycochea, Christian Israel
Garaycochea, Christian Israel is an sole proprietor health care provider with primary practice located at 322 Karen Ave Unit 1207, Las Vegas NV 89109-0412. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Garaycochea, Christian Israel can be contacted via phone (801) 368-0468.Contact Information
Primary practice address
322 Karen Ave Unit 1207
Las Vegas NV 89109-0412
Phone: (801) 368-0468
Fax: (801) 880-3841
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | A90223 | California |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | A90223 | California |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 13797 | Nevada |
Profile Details
| NPI number | 1104942887 |
|---|---|
| LBN Legal business name | Garaycochea, Christian Israel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 22nd, 2007 |
| Last updated | Feb 5th, 2015 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104942887 | NPPES |
| California | Other | 00A902230 | BLUE SHIELD OF CALIFORNIA |
| California | MEDICAID | 00A902230 | BLUE SHIELD OF CALIFORNIA |
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