Allavie, John J

Allavie, John J is an individual health care provider with primary practice located at 4605 Brockton Ave Suite 100, Riverside CA 92506-0107. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Allavie, John J can be contacted via phone (951) 686-4911.

Contact Information

Primary practice address
4605 Brockton Ave Suite 100 Riverside CA 92506-0107
Phone: (951) 686-4911
Fax: (951) 686-9409
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X G47555 California

Profile Details

NPI number 1740242627
LBN Legal business name Allavie, John J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2006
Last updated Feb 18th, 2009 - about 16 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 1740242627 NPPES
California MEDICAID 00G47550

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