Wasley, Jesse
Wasley, Jesse is an sole proprietor health care provider with primary practice located at 17822 Beach Blvd, Suite 243, Huntington Beach CA 92647. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Wasley, Jesse can be contacted via phone (714) 843-9060.Contact Information
Primary practice address
17822 Beach Blvd, Suite 243
Huntington Beach CA 92647
Phone: (714) 843-9060
Fax: (714) 843-0699
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | A42184 | California |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | A42184 | California |
Profile Details
| NPI number | 1699779637 |
|---|---|
| LBN Legal business name | Wasley, Jesse |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 8th, 2005 |
| Last updated | Feb 8th, 2010 - about 14 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 | 1699779637 | NPPES |
| California | Other | P0014478 | RAILROAD MEDICARE |
| California | MEDICAID | 00A421840 | RAILROAD MEDICARE |
| California | Other | 33-0204047 | RAILROAD MEDICARE |
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