Illa, Roberto V
Illa, Roberto V is an sole proprietor health care provider with primary practice located at 1601 Esplanade Suite 4, Chico CA 95926-3370. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Illa, Roberto V can be contacted via phone (530) 345-1157.Contact Information
Primary practice address
1601 Esplanade Suite 4
Chico CA 95926-3370
Phone: (530) 345-1157
Fax: (530) 345-9024
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | G22683 | California |
Profile Details
| NPI number | 1447248224 |
|---|---|
| LBN Legal business name | Illa, Roberto V |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 6th, 2005 |
| Last updated | Aug 27th, 2010 - about 14 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 | 1447248224 | NPPES |
| California | MEDICAID | 00G226830 |
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