Del Junco, Tirso

Del Junco, Tirso is an sole proprietor health care provider with primary practice located at 14860 Roscoe Blvd 200, Panorama City CA 91402-4665. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Del Junco, Tirso can be contacted via phone (818) 997-5000.

Contact Information

Primary practice address
14860 Roscoe Blvd 200 Panorama City CA 91402-4665
Phone: (818) 997-5000
Fax: (818) 997-5005
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X A41067 California
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X A41067 California

Profile Details

NPI number 1306811625
LBN Legal business name Del Junco, Tirso
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 21st, 2006
Last updated Jan 7th, 2016 - about 9 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 1306811625 NPPES
California MEDICAID 00A410670

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