Bobadilla, Vicky

Bobadilla, Vicky is an individual health care provider with primary practice located at 168 North Brent Street Suite 404, Ventura CA 93003. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Bobadilla, Vicky can be contacted via phone (805) 240-7547.

Contact Information

Primary practice address
168 North Brent Street Suite 404 Ventura CA 93003
Fax: (855) 522-2245
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 18754 California

Profile Details

NPI number 1447392022
LBN Legal business name Bobadilla, Vicky
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 12th, 2007
Last updated Dec 21st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447392022 NPPES
California MEDICAID RHM08609F
California MEDICAID ZZT40394F
California MEDICAID RHM18553H
California Other 18754
California MEDICAID RHM08608F
California Other 95-1683892

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