Anzaldua, David Anthony
Anzaldua, David Anthony is an sole proprietor health care provider with primary practice located at 4949 Stevens Creek Blvd , Santa Clara CA 95051-6661. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Anzaldua, David Anthony can be contacted via phone (831) 917-4504.Contact Information
Primary practice address
4949 Stevens Creek Blvd
Santa Clara CA 95051-6661
Phone: (831) 917-4504
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | G84873 | California |
Profile Details
| NPI number | 1699822346 |
|---|---|
| LBN Legal business name | Anzaldua, David Anthony |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 4th, 2007 |
| Last updated | Apr 26th, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699822346 | NPPES |
| California | Other | 201061639 | FEDERAL TAX I.D. |
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