Deveikis, Audra
Deveikis, Audra is an sole proprietor health care provider with primary practice located at 2801 Atlantic Ave , Long Beach CA 90806-1701. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases, which is considered as her primary health care specialty. Deveikis, Audra can be contacted via phone (562) 933-8590.Contact Information
Primary practice address
2801 Atlantic Ave
Long Beach CA 90806-1701
Phone: (562) 933-8590
Fax: (562) 933-8093
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases | 2080P0208X | A40896 | California |
Profile Details
| NPI number | 1558461327 |
|---|---|
| LBN Legal business name | Deveikis, Audra |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 22nd, 2006 |
| Last updated | Dec 11th, 2018 - about 6 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 | 1558461327 | NPPES |
| California | MEDICAID | 00A408960 |
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