Deguzman Celis, John
Deguzman Celis, John is an sole proprietor health care provider with primary practice located at 23600 Rockfield Blvd Suite 3F, Lake Forest CA 92630-1624. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Deguzman Celis, John can be contacted via phone (949) 206-1560.Contact Information
Primary practice address
23600 Rockfield Blvd Suite 3F
Lake Forest CA 92630-1624
Phone: (949) 206-1560
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 11704T | California |
Profile Details
| NPI number | 1861542714 |
|---|---|
| LBN Legal business name | Deguzman Celis, John |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 11th, 2007 |
| Last updated | Feb 17th, 2020 - about 4 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 | 1861542714 | NPPES |
| California | MEDICAID | 2462134 |
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