Petraglia, John Francis
Petraglia, John Francis is an individual health care provider with primary practice located at 1601 Dove St Suite 170, Newport Beach CA 92660-2433. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Petraglia, John Francis can be contacted via phone (949) 474-7246.Contact Information
Primary practice address
1601 Dove St Suite 170
Newport Beach CA 92660-2433
Phone: (949) 474-7246
Fax: (949) 474-7247
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | G68169 | California |
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | G68169 | California |
Profile Details
| NPI number | 1417933938 |
|---|---|
| LBN Legal business name | Petraglia, John Francis |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 16th, 2005 |
| Last updated | Apr 12th, 2011 - about 13 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 | 1417933938 | NPPES |
| California | MEDICAID | 00G681690 |
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