Alanis Amezcua, Jose Maria

Alanis Amezcua, Jose Maria is an individual health care provider with primary practice located at 185 West San Ysidro Blvd , San Ysidro CA 92173. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Alanis Amezcua, Jose Maria can be contacted via phone (619) 428-1103.

Contact Information

Primary practice address
185 West San Ysidro Blvd San Ysidro CA 92173
Phone: (619) 428-1103
Fax: (619) 428-4265
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X A54215 California

Profile Details

NPI number 1962588376
LBN Legal business name Alanis Amezcua, Jose Maria
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2006
Last updated Jul 8th, 2007 - 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 1962588376 NPPES
California MEDICAID 00A542150

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