Ontiveros, Luis Omar

Ontiveros, Luis Omar is an sole proprietor health care provider with primary practice located at 972 Goodrich Blvd , Commerce CA 90022-4114. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Ontiveros, Luis Omar can be contacted via phone (323) 853-6060.

Contact Information

Primary practice address
972 Goodrich Blvd Commerce CA 90022-4114
Phone: (323) 853-6060
Fax: (213) 995-9894
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 13301 Nevada
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A101545 California

Profile Details

NPI number 1841442738
LBN Legal business name Ontiveros, Luis Omar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 22nd, 2008
Last updated Jan 1st, 2020 - about 6 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1841442738 NPPES
Nevada MEDICAID 1841442738

Popular Providers