Burboa, Javier Christopher

Burboa, Javier Christopher is an sole proprietor health care provider with primary practice located at 418 E Arbor Vitae St , Inglewood CA 90301-3450. 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. Burboa, Javier Christopher can be contacted via phone (310) 673-8600.

Contact Information

Primary practice address
418 E Arbor Vitae St Inglewood CA 90301-3450
Phone: (310) 673-8600
Fax: (310) 673-9949
Website:
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Health care specialties

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

Profile Details

NPI number 1679893531
LBN Legal business name Burboa, Javier Christopher
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 2nd, 2010
Last updated Dec 19th, 2011 - about 13 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 1679893531 NPPES
California Other PA20885 MEDICAL LICENSE

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