Cernero, Jeremy Ross

Cernero, Jeremy Ross is an individual health care provider with primary practice located at 12450 Van Nuys Blvd Suite 200, Pacoima CA 91331-1391. He recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as his primary health care specialty. Cernero, Jeremy Ross can be contacted via phone (818) 896-1161.

Contact Information

Primary practice address
12450 Van Nuys Blvd Suite 200 Pacoima CA 91331-1391
Phone: (818) 896-1161
Fax: (818) 896-5069
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1225463664
LBN Legal business name Cernero, Jeremy Ross
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 4th, 2013
Last updated Sep 4th, 2013 - about 12 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 1225463664 NPPES
California MEDICAID 7068
California MEDICAID 7420

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