Cunnan, Jason Ward

Cunnan, Jason Ward is an individual health care provider with primary practice located at 6969 Brockton Ave Suite B, Riverside CA 92506-3833. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Cunnan, Jason Ward can be contacted via phone (951) 686-3575.

Contact Information

Primary practice address
6969 Brockton Ave Suite B Riverside CA 92506-3833
Phone: (951) 686-3575
Fax: (951) 781-2194
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X A77919 California

Profile Details

NPI number 1164565107
LBN Legal business name Cunnan, Jason Ward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2007
Last updated Dec 14th, 2021 - about 3 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 1164565107 NPPES
California MEDICAID 00A779190

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