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Contact Information

NICOLAS DEJONG, PA-C
1751 LOMBARD ST STE A
OXNARD, CA93030
 Phone: 805-981-9111
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Athletic Trainer

2255A2300X
Indicates primary specialty

NPI Profile & details for NICOLAS DEJONG · (Male)

NPI Number 1902204803
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 12/09/2014
Last updated 06/04/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • CA License # PA55150
  • WA License # PA60604695
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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