Madera, Jesse

Madera, Jesse is an sole proprietor health care provider with primary practice located at 3925 Wooster Dr , Oceanside CA 92056-3326. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is his primary health care specialty. Madera, Jesse can be contacted via phone (858) 429-8212.

Contact Information

Primary practice address
3925 Wooster Dr Oceanside CA 92056-3326
Phone: (858) 429-8212
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 14448 California
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 14448 California

Profile Details

NPI number 1528461050
LBN Legal business name Madera, Jesse
Credentials OTR/L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 29th, 2014
Last updated Oct 14th, 2020 - about 5 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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