Caceres, Jorge Bastidas

Caceres, Jorge Bastidas is an sole proprietor health care provider with primary practice located at 2275 S Main St 102, Corona CA 92882-5303. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Caceres, Jorge Bastidas can be contacted via phone (951) 273-7742.

Contact Information

Primary practice address
2275 S Main St 102 Corona CA 92882-5303
Phone: (951) 273-7742
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X PT35690 California

Profile Details

NPI number 1902142318
LBN Legal business name Caceres, Jorge Bastidas
Credentials PT, MPT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 13th, 2012
Last updated May 16th, 2024 - about 4 months 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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