Delgadillo, Kevin Matthew
Delgadillo, Kevin Matthew is an sole proprietor health care provider with primary practice located at 7862 El Cajon Blvd , La Mesa CA 91942-6712. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Delgadillo, Kevin Matthew can be contacted via phone (619) 644-6452.Contact Information
Primary practice address
7862 El Cajon Blvd
La Mesa CA 91942-6712
Phone: (619) 644-6452
Fax: (619) 466-7528
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA19726 | California |
Profile Details
| NPI number | 1770750978 |
|---|---|
| LBN Legal business name | Delgadillo, Kevin Matthew |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 15th, 2008 |
| Last updated | May 5th, 2017 - about 7 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 | 1770750978 | NPPES |
| California | MEDICAID | 1861593063 |
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