Penaloza, Octavio Frias

Penaloza, Octavio Frias is an individual health care provider with primary practice located at 1531 Plumas Ct Ste B , Yuba City CA 95991-2966. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Penaloza, Octavio Frias can be contacted via phone (530) 751-4900.

Contact Information

Primary practice address
1531 Plumas Ct Ste B Yuba City CA 95991-2966
Phone: (530) 751-4900
Fax: (530) 751-4901
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA12685 California

Profile Details

NPI number 1154332492
LBN Legal business name Penaloza, Octavio Frias
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2006
Last updated May 10th, 2019 - about 6 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 1154332492 NPPES
California Other CB230779 MEDICARE PTAN NUMBER

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