Videen, John S

Videen, John S is an sole proprietor health care provider with primary practice located at 752 Medical Center Ct Suite 302, Chula Vista CA 91911-6658. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Videen, John S can be contacted via phone (619) 421-3361.

Contact Information

Primary practice address
752 Medical Center Ct Suite 302 Chula Vista CA 91911-6658
Phone: (619) 421-3361
Fax: (619) 656-8936
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X G59271 California

Profile Details

NPI number 1043318199
LBN Legal business name Videen, John S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 20th, 2006
Last updated Jan 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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Identifiers

StateTypeNumberIssuer
All States NPI 1043318199 NPPES
California MEDICAID 00G592710
California Other BD830S
California Other CA108496

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