Liquete, Johnny A

Liquete, Johnny A is an sole proprietor health care provider with primary practice located at 14114 Business Center Dr Suite D, Moreno Valley CA 92553-9113. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Liquete, Johnny A can be contacted via phone (951) 697-1150.

Contact Information

Primary practice address
14114 Business Center Dr Suite D Moreno Valley CA 92553-9113
Phone: (951) 697-1150
Fax: (951) 697-1189
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A49014 California

Profile Details

NPI number 1366438574
LBN Legal business name Liquete, Johnny A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 22nd, 2005
Last updated Jul 18th, 2011 - about 15 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 1366438574 NPPES
California MEDICAID 00A490141

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