Arevalo, Edward Guisande
Arevalo, Edward Guisande is an sole proprietor health care provider with primary practice located at 3262 Holiday Ct Suite 200, La Jolla CA 92037-0026. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Arevalo, Edward Guisande can be contacted via phone (858) 922-3057.Contact Information
Primary practice address
3262 Holiday Ct Suite 200
La Jolla CA 92037-0026
Phone: (858) 922-3057
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | A49719 | California |
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | A49719 | California |
Profile Details
| NPI number | 1225189343 |
|---|---|
| LBN Legal business name | Arevalo, Edward Guisande |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 15th, 2007 |
| Last updated | Jun 30th, 2016 - about 8 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 | 1225189343 | NPPES |
| Other | FF873A | MEDICARE GROUP PTAN | |
| Other | FH539Z | MEDICARE GROUP PTAN |
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