Deza, Juan
Deza, Juan is an individual health care provider with primary practice located at 7910 Frost Street Suite 245, San Diego CA 92123. He recently has only one registered license in Allopathic & Osteopathic Physicians / Critical Care Medicine, which is considered as his primary health care specialty. Deza, Juan can be contacted via phone (858) 650-5037.Contact Information
Primary practice address
7910 Frost Street Suite 245
San Diego CA 92123
Phone: (858) 650-5037
Fax: (858) 650-5039
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | A45058 | California |
Profile Details
| NPI number | 1407846157 |
|---|---|
| LBN Legal business name | Deza, Juan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 25th, 2005 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407846157 | NPPES |
| California | MEDICAID | 00A450580 |
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