Affeldt, John C

Affeldt, John C is an individual health care provider with primary practice located at 11370 Anderson St Ste 1800 , Loma Linda CA 92354-3450. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Affeldt, John C can be contacted via phone (909) 558-2154.

Contact Information

Primary practice address
11370 Anderson St Ste 1800 Loma Linda CA 92354-3450
Phone: (909) 558-2154
Fax: (909) 558-2180
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X G38490 California

Profile Details

NPI number 1275523375
LBN Legal business name Affeldt, John C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2005
Last updated Mar 6th, 2018 - about 6 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 1275523375 NPPES
California Other 00G384901 BLUE CROSS
California MEDICAID 00G384900 BLUE CROSS

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