Jeremiah, Gaston

Jeremiah, Gaston is an individual health care provider with primary practice located at 1310 W Stewart Dr Ste 503 , Orange CA 92868-3856. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Jeremiah, Gaston can be contacted via phone (714) 997-2224.

Contact Information

Primary practice address
1310 W Stewart Dr Ste 503 Orange CA 92868-3856
Phone: (714) 997-2224
Fax: (714) 997-1187
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 3746 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 3746 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 55591 California

Profile Details

NPI number 1518310333
LBN Legal business name Jeremiah, Gaston
Credentials PHYSICIAN ASSISTANT
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2016
Last updated Jun 21st, 2024 - about last year

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 1518310333 NPPES
California Other 55591 PA
California Other 1131297 PA

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