Vicencio, Eduardita Eolani
Vicencio, Eduardita Eolani is an sole proprietor health care provider with primary practice located at 16031 Tuscola Rd , Apple Valley CA 92307-1319. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Vicencio, Eduardita Eolani can be contacted via phone (760) 946-2020.Contact Information
Primary practice address
16031 Tuscola Rd
Apple Valley CA 92307-1319
Phone: (760) 946-2020
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | A23710 | California |
Profile Details
| NPI number | 1790903573 |
|---|---|
| LBN Legal business name | Vicencio, Eduardita Eolani |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 24th, 2007 |
| Last updated | Oct 6th, 2014 - about 11 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 | 1790903573 | NPPES |
| California | MEDICAID | 00A237100 |
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