Baltierra, Gerardo
Baltierra, Gerardo is an sole proprietor health care provider with primary practice located at 13177 Ramona Blvd , Baldwin Park CA 91706-3855. He recently has only one registered license in Other Service Providers / Military Health Care Provider, which is considered as his primary health care specialty. Baltierra, Gerardo can be contacted via phone (626) 337-3828.Contact Information
Primary practice address
13177 Ramona Blvd
Baldwin Park CA 91706-3855
Phone: (626) 337-3828
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Military Health Care Provider | 171000000X |
Profile Details
| NPI number | 1710457429 |
|---|---|
| LBN Legal business name | Baltierra, Gerardo |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 26th, 2018 |
| Last updated | Nov 26th, 2018 - about 6 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 | 1710457429 | NPPES |
| California | MEDICAID | 98534377E47284 | |
| California | Other | D8491732 |
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