Sambo, Jazel Ruivivar
Sambo, Jazel Ruivivar is an sole proprietor health care provider with primary practice located at 2510 El Camino Real , Carlsbad CA 92008-1273. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Sambo, Jazel Ruivivar can be contacted via phone (760) 729-8941.Contact Information
Primary practice address
2510 El Camino Real
Carlsbad CA 92008-1273
Phone: (760) 729-8941
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 95012694 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 95012694 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | NP95012694 | California |
Profile Details
| NPI number | 1043860844 |
|---|---|
| LBN Legal business name | Sambo, Jazel Ruivivar |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 13th, 2019 |
| Last updated | Jan 25th, 2022 - about 4 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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