Bolivar, David Alfonso

Bolivar, David Alfonso is an individual health care provider with primary practice located at 18300 Highway 18 , Apple Valley CA 92307. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Bolivar, David Alfonso can be contacted via phone (760) 242-2311.

Contact Information

Primary practice address
18300 Highway 18 Apple Valley CA 92307
Phone: (760) 242-2311
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X A33373 California

Profile Details

NPI number 1801830609
LBN Legal business name Bolivar, David Alfonso
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Oct 23rd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801830609 NPPES
California MEDICAID 00A333730
California MEDICAID 00A333732

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