Avalos, Joseph Anthony

Avalos, Joseph Anthony is an sole proprietor health care provider with primary practice located at 200 W Arbor Drive Mc8485, San Diego CA 92103-8485. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hospitalist, which is considered as his primary health care specialty. Avalos, Joseph Anthony can be contacted via phone (619) 471-9198.

Contact Information

Primary practice address
200 W Arbor Drive Mc8485 San Diego CA 92103-8485
Phone: (619) 471-9198
Fax: (619) 543-8255
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X A143574 California

Profile Details

NPI number 1912296971
LBN Legal business name Avalos, Joseph Anthony
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 30th, 2011
Last updated Sep 12th, 2017 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912296971 NPPES
Mississippi MEDICAID 04505760
Mississippi MEDICAID 2146513

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