Medock, Yvonne Carlo

Medock, Yvonne Carlo is an individual health care provider with primary practice located at 190 E. Highland Ave , San Bernardino CA 92404-3658. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Medock, Yvonne Carlo can be contacted via phone (909) 882-4788.

Contact Information

Primary practice address
190 E. Highland Ave San Bernardino CA 92404-3658
Phone: (909) 882-4788
Fax: (909) 882-8819
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP30006841 Washington
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 11606 California

Profile Details

NPI number 1700948924
LBN Legal business name Medock, Yvonne Carlo
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2006
Last updated May 22nd, 2017 - about 7 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 1700948924 NPPES
California Other P01805640-DU5182 RAILROAD MEDICARE
California Other 07252016 RAILROAD MEDICARE
California Other P01288547/DU4034 RAILROAD MEDICARE
California MEDICAID EFF:2/21/13-FONTANA RAILROAD MEDICARE
California MEDICAID EFF.4/23/13-S.RIVERS RAILROAD MEDICARE
California MEDICAID EFF:2/21/13 SAN BERN RAILROAD MEDICARE

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