Montalvo, Omayra
Montalvo, Omayra is an individual health care provider with primary practice located at 900 Main St , Brawley CA 92227-2630. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Montalvo, Omayra can be contacted via phone (760) 344-6471.Contact Information
Primary practice address
900 Main St
Brawley CA 92227-2630
Phone: (760) 344-6471
Fax: (760) 344-8410
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 23182 | California |
Profile Details
| NPI number | 1114354404 |
|---|---|
| LBN Legal business name | Montalvo, Omayra |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 1st, 2013 |
| Last updated | Oct 1st, 2013 - about 13 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 | 1114354404 | NPPES |
| California | MEDICAID | 1649269747 |
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