Jiao, Maria Soledad De Mesa

Jiao, Maria Soledad De Mesa is an individual health care provider with primary practice located at 660 S Fair Oaks Ave Pediatrics Clinic, Sunnyvale CA 94086-7913. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Jiao, Maria Soledad De Mesa can be contacted via phone (408) 992-4971.

Contact Information

Primary practice address
660 S Fair Oaks Ave Pediatrics Clinic Sunnyvale CA 94086-7913
Phone: (408) 992-4971
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A67004 California

Profile Details

NPI number 1760445480
LBN Legal business name Jiao, Maria Soledad De Mesa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2006
Last updated Sep 12th, 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 1760445480 NPPES
California MEDICAID 00A670040

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