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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770750978 NPPES
California MEDICAID 1861593063

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