Balderas, Jazmin
Balderas, Jazmin is an individual health care provider with primary practice located at 28765 Single Oak Dr Ste 140 , Temecula CA 92590-3661. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Balderas, Jazmin can be contacted via phone (951) 552-1126.Contact Information
Primary practice address
28765 Single Oak Dr Ste 140
Temecula CA 92590-3661
Phone: (951) 552-1126
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | OT21525 | California |
Profile Details
| NPI number | 1568044253 |
|---|---|
| LBN Legal business name | Balderas, Jazmin |
| Credentials | OTR/L |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 22nd, 2021 |
| Last updated | Apr 22nd, 2021 - about 3 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 | 1568044253 | NPPES |
| Other | 15002128 | CAQH PROVIEW |
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