Agcaoili, Fidelito Boado

Agcaoili, Fidelito Boado is an individual health care provider with primary practice located at 4000 14Th Street Ste. 208, Riverside CA 92501-4136. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Agcaoili, Fidelito Boado can be contacted via phone (951) 369-6191.

Contact Information

Primary practice address
4000 14Th Street Ste. 208 Riverside CA 92501-4136
Phone: (951) 369-6191
Fax: (951) 369-0304
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA-18803 California

Profile Details

NPI number 1225316466
LBN Legal business name Agcaoili, Fidelito Boado
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2011
Last updated Jul 21st, 2011 - about 14 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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