Castro Imul, Antolin
Castro Imul, Antolin is an individual health care provider with primary practice located at 5162 Whittier Blvd , Los Angeles CA 90022-3932. He recently has only one registered license in Dental Providers / Dental Assistant, which is considered as his primary health care specialty. Castro Imul, Antolin can be contacted via phone (323) 415-6161.Contact Information
Primary practice address
5162 Whittier Blvd
Los Angeles CA 90022-3932
Phone: (323) 415-6161
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Assistant | 126800000X | 68991 | California |
Profile Details
| NPI number | 1891241394 |
|---|---|
| LBN Legal business name | Castro Imul, Antolin |
| Credentials | Registered Dental Assistant (RDA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 25th, 2016 |
| Last updated | Aug 25th, 2016 - about 8 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 | 1891241394 | NPPES |
| California | MEDICAID | 68991 |
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