Alfonso, Ferdinand A

Alfonso, Ferdinand A is an sole proprietor health care provider with primary practice located at 931 Buena Vista St Suite 503, Duarte CA 91010-1712. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Alfonso, Ferdinand A can be contacted via phone (626) 357-8003.

Contact Information

Primary practice address
931 Buena Vista St Suite 503 Duarte CA 91010-1712
Fax: (626) 357-8402
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X A40114 California

Profile Details

NPI number 1356339733
LBN Legal business name Alfonso, Ferdinand A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 11th, 2005
Last updated Oct 27th, 2011 - about 13 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 1356339733 NPPES
California MEDICAID 00A40114

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