Valdivia, Jose Angel

Valdivia, Jose Angel is an individual health care provider with primary practice located at 10401 W Thunderbird Blvd , Sun City AZ 85351-3004. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Valdivia, Jose Angel can be contacted via phone (623) 876-5366.

Contact Information

Primary practice address
10401 W Thunderbird Blvd Sun City AZ 85351-3004
Phone: (623) 876-5366
Fax: (866) 552-8029
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 2145 Arizona

Profile Details

NPI number 1053461285
LBN Legal business name Valdivia, Jose Angel
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2007
Last updated Feb 14th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053461285 NPPES
Arizona MEDICAID 455809

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