Camacho, Maria De La Luz

Camacho, Maria De La Luz is an sole proprietor health care provider with primary practice located at 4200 N Lakewood Blvd , Long Beach CA 90808-1558. She recently has only one registered license in Dental Providers / Dental Assistant, which is considered as her primary health care specialty. Camacho, Maria De La Luz can be contacted via phone (562) 420-1701.

Contact Information

Primary practice address
4200 N Lakewood Blvd Long Beach CA 90808-1558
Phone: (562) 420-1701
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Assistant 126800000X RDA90299 California

Profile Details

NPI number 1033675350
LBN Legal business name Camacho, Maria De La Luz
Credentials Registered Dental Assistant (RDA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 12th, 2019
Last updated Feb 12th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033675350 NPPES
California MEDICAID RDA90299

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