Garaycochea, Christian Israel

Garaycochea, Christian Israel is an sole proprietor health care provider with primary practice located at 322 Karen Ave Unit 1207, Las Vegas NV 89109-0412. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Garaycochea, Christian Israel can be contacted via phone (801) 368-0468.

Contact Information

Primary practice address
322 Karen Ave Unit 1207 Las Vegas NV 89109-0412
Phone: (801) 368-0468
Fax: (801) 880-3841
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X A90223 California
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X A90223 California
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 13797 Nevada

Profile Details

NPI number 1104942887
LBN Legal business name Garaycochea, Christian Israel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 22nd, 2007
Last updated Feb 5th, 2015 - about 10 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 1104942887 NPPES
California Other 00A902230 BLUE SHIELD OF CALIFORNIA
California MEDICAID 00A902230 BLUE SHIELD OF CALIFORNIA

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