Cruz Whitley, Jessica
Cruz Whitley, Jessica is an sole proprietor health care provider with primary practice located at 752 Medical Center Ct Ste 302 , Chula Vista CA 91911-6661. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Cruz Whitley, Jessica can be contacted via phone (619) 421-3361.Contact Information
Primary practice address
752 Medical Center Ct Ste 302
Chula Vista CA 91911-6661
Phone: (619) 421-3361
Fax: (619) 869-4378
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | A151789 | California |
Profile Details
| NPI number | 1841653094 |
|---|---|
| LBN Legal business name | Cruz Whitley, Jessica |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 4th, 2016 |
| Last updated | Apr 8th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841653094 | NPPES |
| California | Other | A151789 | MEDICAL LICENSE |
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