Jutzy, Kenneth

Jutzy, Kenneth is an individual health care provider with primary practice located at 11234 Anderson St #1617, Loma Linda CA 92354-2804. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Jutzy, Kenneth can be contacted via phone (909) 558-8591.

Contact Information

Primary practice address
11234 Anderson St #1617 Loma Linda CA 92354-2804
Phone: (909) 558-8591
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X G37876 California
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X G37876 California

Profile Details

NPI number 1073531802
LBN Legal business name Jutzy, Kenneth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Apr 12th, 2010 - about 15 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 1073531802 NPPES
California MEDICAID 00G378760

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