Quel, Jorge Antonio
Quel, Jorge Antonio is an sole proprietor health care provider with primary practice located at 4644 Lincoln Blvd Ste 410 , Marina Del Rey CA 90292-6390. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy, which is considered as his primary health care specialty. Quel, Jorge Antonio can be contacted via phone (310) 823-6766.Contact Information
Primary practice address
4644 Lincoln Blvd Ste 410
Marina Del Rey CA 90292-6390
Phone: (310) 823-6766
Fax: (310) 823-6966
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Allergy | 207KA0200X | A24556 | California |
Profile Details
| NPI number | 1700915311 |
|---|---|
| LBN Legal business name | Quel, Jorge Antonio |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 2nd, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1700915311 | NPPES |
| California | Other | A24556 | MEDICAL LICENSURE |
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