Cervantes, Jose L

Cervantes, Jose L is an individual health care provider with primary practice located at 1601 N Sepulveda Blvd #543, Manhattan Beach CA 90266-5111. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Cervantes, Jose L can be contacted via phone (424) 217-3227.

Contact Information

Primary practice address
1601 N Sepulveda Blvd #543 Manhattan Beach CA 90266-5111
Phone: (424) 217-3227
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X A76360 California

Profile Details

NPI number 1275589962
LBN Legal business name Cervantes, Jose L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2006
Last updated Nov 10th, 2014 - about 11 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 1275589962 NPPES
California MEDICAID 00A763600
California MEDICAID 00G812850

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