Abueva, Kathleen Mae Delos Reyes
Abueva, Kathleen Mae Delos Reyes is an sole proprietor health care provider with primary practice located at 859 N Wilton Pl , Los Angeles CA 90038-4057. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Abueva, Kathleen Mae Delos Reyes can be contacted via phone (323) 470-9304.Contact Information
Primary practice address
859 N Wilton Pl
Los Angeles CA 90038-4057
Phone: (323) 470-9304
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | 30858 | California |
Profile Details
| NPI number | 1396285300 |
|---|---|
| LBN Legal business name | Abueva, Kathleen Mae Delos Reyes |
| Credentials | RDHAP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 24th, 2017 |
| Last updated | Apr 19th, 2019 - about 6 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 | 1396285300 | NPPES |
| California | MEDICAID | 729 | |
| California | MEDICAID | 30858 |
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