Kavalich, Allan G

Kavalich, Allan G is an sole proprietor health care provider with primary practice located at 1500 N Waterman Ave , San Bernardino CA 92404-5111. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Kavalich, Allan G can be contacted via phone (909) 381-1595.

Contact Information

Primary practice address
1500 N Waterman Ave San Bernardino CA 92404-5111
Phone: (909) 381-1595
Fax: (909) 381-3291
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X G29326 California

Profile Details

NPI number 1639178692
LBN Legal business name Kavalich, Allan G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 20th, 2005
Last updated Apr 3rd, 2012 - about 14 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 1639178692 NPPES
California MEDICAID 00G293260

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