Ventura, Ivan L

Ventura, Ivan L is an individual health care provider with primary practice located at 301 E 13Th St , Merced CA 95340-6211. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Emergency, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Emergency is his primary health care specialty. Ventura, Ivan L can be contacted via phone (209) 385-7201.

Contact Information

Primary practice address
301 E 13Th St Merced CA 95340-6211
Phone: (209) 385-7201
Fax: (209) 385-7066
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Emergency 364SE0003X PA17129 California
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA17129 California

Profile Details

NPI number 1295706661
LBN Legal business name Ventura, Ivan L
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2006
Last updated Apr 28th, 2009 - about 17 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 1295706661 NPPES
California MEDICAID 1295706661
California MEDICAID PA17129
California MEDICAID 0PA171290

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