Eastman, Amelia Star
Eastman, Amelia Star is an individual health care provider with primary practice located at 9350 Campus Point Dr Ste. 1B, La Jolla CA 92037-1300. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Preventive Medicine/Occupational Environmental Medicine, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is her primary health care specialty. Eastman, Amelia Star can be contacted via phone (858) 657-8200.Contact Information
Primary practice address
9350 Campus Point Dr Ste. 1B
La Jolla CA 92037-1300
Phone: (858) 657-8200
Fax: (858) 657-8235
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Preventive Medicine/Occupational Environmental Medicine | 2083P0500X | 20A11643 | California |
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 20A 11643 | California |
Profile Details
NPI number | 1336393990 |
---|---|
LBN Legal business name | Eastman, Amelia Star |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 10th, 2008 |
Last updated | Mar 7th, 2017 - about 8 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 | 1336393990 | NPPES |
California | Other | FU580A | MEDICARE PTAN |
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