Konia, Nadine

Konia, Nadine is an sole proprietor health care provider with primary practice located at 1350 W Covina Blvd , San Dimas CA 91773-3245. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Konia, Nadine can be contacted via phone (909) 599-6811.

Contact Information

Primary practice address
1350 W Covina Blvd San Dimas CA 91773-3245
Phone: (909) 599-6811
Fax: (818) 587-2493
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X A65582 California

Profile Details

NPI number 1104873413
LBN Legal business name Konia, Nadine
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 30th, 2006
Last updated Apr 3rd, 2014 - 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 1104873413 NPPES
California MEDICAID 00A655820
California Other 930090136
California Other 930065293

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