Jara, Jorge Gonzalo
Jara, Jorge Gonzalo is an individual health care provider with primary practice located at 200 Mercy Circle , Camp Pendleton CA 92055. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Jara, Jorge Gonzalo can be contacted via phone (760) 719-3308.Contact Information
Primary practice address
200 Mercy Circle
Camp Pendleton CA 92055
Phone: (760) 719-3308
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 0110005612 | Virginia |
Profile Details
| NPI number | 1215314042 |
|---|---|
| LBN Legal business name | Jara, Jorge Gonzalo |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 30th, 2015 |
| Last updated | Aug 23rd, 2022 - about 4 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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