Guevara, Pablo Ivan

Guevara, Pablo Ivan is an sole proprietor health care provider with primary practice located at 100 A San Pablo Town Center , San Pablo CA 94806. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Guevara, Pablo Ivan can be contacted via phone (510) 237-2802.

Contact Information

Primary practice address
100 A San Pablo Town Center San Pablo CA 94806
Phone: (510) 237-2802
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 209337 Massachusetts
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X C162697 California

Profile Details

NPI number 1811967748
LBN Legal business name Guevara, Pablo Ivan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 24th, 2006
Last updated Apr 25th, 2024 - about 5 months 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 1811967748 NPPES
Massachusetts MEDICAID 110004487A

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