Chavez, Rodolfo

Chavez, Rodolfo is an individual health care provider with primary practice located at 44558 10Th St W , Lancaster CA 93534-3333. He recently has only one registered license in Dental Providers / Dental Assistant, which is considered as his primary health care specialty. Chavez, Rodolfo can be contacted via phone (661) 206-2424.

Contact Information

Primary practice address
44558 10Th St W Lancaster CA 93534-3333
Phone: (661) 206-2424
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Assistant 126800000X 76623 California

Profile Details

NPI number 1790294627
LBN Legal business name Chavez, Rodolfo
Credentials Registered Dental Assistant (RDA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2017
Last updated Sep 22nd, 2017 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790294627 NPPES
California MEDICAID B8125284

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