Dellorusso, James Kenneth

Dellorusso, James Kenneth is an individual health care provider with primary practice located at 1720 Termino Ave , Long Beach CA 90804-2104. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Dellorusso, James Kenneth can be contacted via phone (562) 498-1000.

Contact Information

Primary practice address
1720 Termino Ave Long Beach CA 90804-2104
Phone: (562) 498-1000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X A45146 California

Profile Details

NPI number 1366425811
LBN Legal business name Dellorusso, James Kenneth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2005
Last updated May 5th, 2011 - about 13 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 1366425811 NPPES
California MEDICAID 00A451460

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