Porto Madurski, Kristine

Porto Madurski, Kristine is an individual health care provider with primary practice located at 4004 Beyer Blvd , San Ysidro CA 92173-2007. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Porto Madurski, Kristine can be contacted via phone (619) 428-4463.

Contact Information

Primary practice address
4004 Beyer Blvd San Ysidro CA 92173-2007
Phone: (619) 428-4463
Fax: (619) 428-2625
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA16269 California

Profile Details

NPI number 1053403782
LBN Legal business name Porto Madurski, Kristine
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2006
Last updated Nov 29th, 2021 - about 4 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 1053403782 NPPES
Other FHC18880F MEDI CAL

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