Pavia, Jose M
Pavia, Jose M is an sole proprietor health care provider with primary practice located at 13768 Roswell Ave Suite 101, Chino CA 91710-1401. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Pavia, Jose M can be contacted via phone (909) 517-2188.Contact Information
Primary practice address
13768 Roswell Ave Suite 101
Chino CA 91710-1401
Phone: (909) 517-2188
Fax: (909) 517-1598
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | C43068 | California |
Profile Details
| NPI number | 1447251145 |
|---|---|
| LBN Legal business name | Pavia, Jose M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 3rd, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447251145 | NPPES |
| California | MEDICAID | 00C436080 |
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