Espiritu, Eugene Velarde

Espiritu, Eugene Velarde is an individual health care provider with primary practice located at 1230 El Camino Real Suite K, San Bruno CA 94066-1309. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Espiritu, Eugene Velarde can be contacted via phone (650) 875-6808.

Contact Information

Primary practice address
1230 El Camino Real Suite K San Bruno CA 94066-1309
Phone: (650) 875-6808
Fax: (650) 875-3755
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 33758 California

Profile Details

NPI number 1083600159
LBN Legal business name Espiritu, Eugene Velarde
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2005
Last updated Jul 8th, 2007 - about 18 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 1083600159 NPPES
California Other B33758-01 MEDI-CAL PROVIDER NUMBER

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