Regala, Jayvee Ronquillo
Regala, Jayvee Ronquillo is an individual health care provider with primary practice located at 18460 Roscoe Blvd , Northridge CA 91325-4107. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Regala, Jayvee Ronquillo can be contacted via phone (818) 837-5790.Contact Information
Primary practice address
18460 Roscoe Blvd
Northridge CA 91325-4107
Phone: (818) 837-5790
Fax: (818) 998-2506
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | A75727 | California |
Profile Details
| NPI number | 1720017593 |
|---|---|
| LBN Legal business name | Regala, Jayvee Ronquillo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 2nd, 2006 |
| Last updated | Sep 14th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720017593 | NPPES |
| California | MEDICAID | 00A757270 |
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