Barajas, Sergio H

Barajas, Sergio H is an individual health care provider with primary practice located at 88775 Avenue 76, Ste. 1 , Thermal CA 92274-9407. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Barajas, Sergio H can be contacted via phone (760) 397-2501.

Contact Information

Primary practice address
88775 Avenue 76, Ste. 1 Thermal CA 92274-9407
Phone: (760) 397-2501
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA15857 California

Profile Details

NPI number 1235211731
LBN Legal business name Barajas, Sergio H
Credentials PHYSICIAN ASSISTANT
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2006
Last updated May 26th, 2015 - about 9 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 1235211731 NPPES
California MEDICAID PA15857

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