Calleja, Maria E

Calleja, Maria E is an individual health care provider with primary practice located at 12121 Wilshire Blvd 1111, Los Angeles CA 90025. She recently has only one registered license in Dental Providers / Dental Assistant, which is considered as her primary health care specialty. Calleja, Maria E can be contacted via phone (310) 820-9933.

Contact Information

Primary practice address
12121 Wilshire Blvd 1111 Los Angeles CA 90025
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Assistant 126800000X 38991 California

Profile Details

NPI number 1881186195
LBN Legal business name Calleja, Maria E
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2018
Last updated Jun 1st, 2018 - about 7 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 1881186195 NPPES
California MEDICAID 38991

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