Teruya, Theodore H
Teruya, Theodore H is an individual health care provider with primary practice located at 11370 Anderson St Suite 2100, Loma Linda CA 92354-3450. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Teruya, Theodore H can be contacted via phone (909) 558-2126.Contact Information
Primary practice address
11370 Anderson St Suite 2100
Loma Linda CA 92354-3450
Phone: (909) 558-2126
Fax: (909) 558-2401
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 10795 | Hawaii |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 10795 | Hawaii |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | A71912 | California |
Profile Details
| NPI number | 1538233572 |
|---|---|
| LBN Legal business name | Teruya, Theodore H |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 20th, 2006 |
| Last updated | Jun 29th, 2023 - about 3 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 | 1538233572 | NPPES |
| Other | 55759801 | ALOHACARE | |
| Other | 990287995 | ALOHACARE | |
| Other | 990287995 | ALOHACARE | |
| Other | 990287995 | ALOHACARE | |
| Other | 0000249011 | ALOHACARE | |
| MEDICAID | 55759801 | ALOHACARE | |
| Other | 990287995 | ALOHACARE | |
| Other | 990287995 | ALOHACARE | |
| Other | 990287995 | ALOHACARE | |
| Other | 990287995 | ALOHACARE | |
| Other | 990287995 | ALOHACARE | |
| Other | 990287995 | ALOHACARE | |
| Other | 990287995 | ALOHACARE | |
| Other | 990287995 | ALOHACARE | |
| Other | MD10795 | ALOHACARE | |
| Other | 517420 | ALOHACARE |
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