Valenzuela, Jess Reyes

Valenzuela, Jess Reyes is an individual health care provider with primary practice located at 300 E 15Th St Ste B , Merced CA 95341-6217. He recently has only one registered license in Nursing Service Providers / Licensed Psychiatric Technician, which is considered as his primary health care specialty. Valenzuela, Jess Reyes can be contacted via phone (209) 381-6879.

Contact Information

Primary practice address
300 E 15Th St Ste B Merced CA 95341-6217
Phone: (209) 381-6879
Fax: (209) 725-3775
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Psychiatric Technician 167G00000X 25356 California

Profile Details

NPI number 1700300050
LBN Legal business name Valenzuela, Jess Reyes
Credentials LPT
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2017
Last updated Oct 29th, 2020 - 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 1700300050 NPPES
California MEDICAID 1013030808

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