Echeverri, Jorge

Echeverri, Jorge is an individual health care provider with primary practice located at 4476 Tweedy Blvd , South Gate CA 90280-6359. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Echeverri, Jorge can be contacted via phone (323) 563-9499.

Contact Information

Primary practice address
4476 Tweedy Blvd South Gate CA 90280-6359
Phone: (323) 563-9499
Fax: (313) 563-0956
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A52822 California
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 52822 California

Profile Details

NPI number 1376556506
LBN Legal business name Echeverri, Jorge
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2006
Last updated Jul 15th, 2016 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376556506 NPPES
California Other 080179420 MEDICARE RAILROAD
California Other 00A528220 MEDICARE RAILROAD
California MEDICAID 00A528220 MEDICARE RAILROAD
California Other 080179420 MEDICARE RAILROAD

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