Diosdado, Israel De Jesus

Diosdado, Israel De Jesus is an individual health care provider with primary practice located at 2712 Mission St , San Francisco CA 94110-3104. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Community Health Worker, Technologists, Technicians & Other Technical Service Providers / Phlebotomy. Technologists, Technicians & Other Technical Service Providers / Phlebotomy is his primary health care specialty. Diosdado, Israel De Jesus can be contacted via phone (415) 401-2700.

Contact Information

Primary practice address
2712 Mission St San Francisco CA 94110-3104
Phone: (415) 401-2700
Fax: (415) 401-2741
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X
Technologists, Technicians & Other Technical Service Providers / Phlebotomy 246RP1900X CPT 00019019 California

Profile Details

NPI number 1881094217
LBN Legal business name Diosdado, Israel De Jesus
Credentials HEALTH WORKER II
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 4th, 2014
Last updated Oct 3rd, 2014 - about 11 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 1881094217 NPPES
California Other CPT 00019019 STATE LISCENCE PHLEBOTOMIST

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