Phillipp, Juana Constantina

Phillipp, Juana Constantina is an sole proprietor health care provider with primary practice located at 130 W Route 66 Suite #220, Glendora CA 91740-6249. She recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy, which is considered as her primary health care specialty. Phillipp, Juana Constantina can be contacted via phone (626) 914-5803.

Contact Information

Primary practice address
130 W Route 66 Suite #220 Glendora CA 91740-6249
Phone: (626) 914-5803
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy 207KA0200X A33955 California

Profile Details

NPI number 1043358104
LBN Legal business name Phillipp, Juana Constantina
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 1st, 2007
Last updated Jun 10th, 2008 - about 18 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 1043358104 NPPES
California MEDICAID OOA339550

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