Bingham, Cheryl Diane

Bingham, Cheryl Diane is an sole proprietor health care provider with primary practice located at 11905 S Central Ave #203, Los Angeles CA 90059-2836. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Bingham, Cheryl Diane can be contacted via phone (323) 564-7504.

Contact Information

Primary practice address
11905 S Central Ave #203 Los Angeles CA 90059-2836
Fax: (323) 564-8645
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 034818 California

Profile Details

NPI number 1194792218
LBN Legal business name Bingham, Cheryl Diane
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 7th, 2006
Last updated Apr 11th, 2012 - about 12 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 1194792218 NPPES
California MEDICAID B34818

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