Quejada, Jaime A

Quejada, Jaime A is an individual health care provider with primary practice located at 1205 W Vista Way , Vista CA 92083-6227. He recently has only one registered license in Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, which is considered as his primary health care specialty. Quejada, Jaime A can be contacted via phone (760) 941-5051.

Contact Information

Primary practice address
1205 W Vista Way Vista CA 92083-6227
Phone: (760) 941-5051
Fax: (888) 228-5701
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X DDS35196 California

Profile Details

NPI number 1306947429
LBN Legal business name Quejada, Jaime A
Credentials DMD,MS
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2006
Last updated Oct 19th, 2023 - about last year

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 1306947429 NPPES
California Other 33-0820906 TAX ID
California Other DC35196 TAX ID

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