Valladolid, Ivan C

Valladolid, Ivan C is an individual health care provider with primary practice located at 10800 Magnolia Ave , Riverside CA 92505-3043. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Valladolid, Ivan C can be contacted via phone (909) 353-2000.

Contact Information

Primary practice address
10800 Magnolia Ave Riverside CA 92505-3043
Phone: (909) 353-2000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X NA1504 California

Profile Details

NPI number 1285786632
LBN Legal business name Valladolid, Ivan C
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2007
Last updated Nov 29th, 2021 - about 3 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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