Sequeira, Joan
Sequeira, Joan is an sole proprietor health care provider with primary practice located at 5400 Balboa Blvd Ste 210 , Encino CA 91316-5208. 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. Sequeira, Joan can be contacted via phone (310) 652-3981.Contact Information
Primary practice address
5400 Balboa Blvd Ste 210
Encino CA 91316-5208
Phone: (310) 652-3981
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 60082 | California |
Profile Details
| NPI number | 1609475136 |
|---|---|
| LBN Legal business name | Sequeira, Joan |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 26th, 2020 |
| Last updated | Nov 9th, 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 | 1609475136 | NPPES |
| California | MEDICAID | 1609475136 |
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