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Contact Information

EDDIE PESQUEDA
83844 HOPI AVE
INDIO, CA92203
 Phone: 760-347-9442
 Fax: 760-342-8022
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Counselor

101Y00000X
Indicates primary specialty

NPI Profile & details for EDDIE PESQUEDA · (Male)

NPI Number 1053597765
Status Active
Credentials
Entity Individual
Enumeration date 01/11/2008
Last updated 01/11/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 01040732
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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