Cardona-Loya, Octavio

Cardona-Loya, Octavio is an sole proprietor health care provider with primary practice located at 750 Medical Center Ct Ste 4 , Chula Vista CA 91911-6634. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Cardona-Loya, Octavio can be contacted via phone (619) 421-8360.

Contact Information

Primary practice address
750 Medical Center Ct Ste 4 Chula Vista CA 91911-6634
Phone: (619) 421-8360
Fax: (619) 421-7632
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 831244 California

Profile Details

NPI number 1578585873
LBN Legal business name Cardona-Loya, Octavio
Credentials M.D.,F.A.C.S.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 24th, 2006
Last updated Jul 8th, 2007 - about 17 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 1578585873 NPPES
California Other 831244 LICENSE
California MEDICAID 00A312440 LICENSE

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