Conners, Andrea

Conners, Andrea is an individual health care provider with primary practice located at 13218 Avalon Blvd Apt 219 , Los Angeles CA 90061-2363. She recently has only one registered license in Dental Providers / Dental Assistant, which is considered as her primary health care specialty. Conners, Andrea can be contacted via phone (424) 394-7579.

Contact Information

Primary practice address
13218 Avalon Blvd Apt 219 Los Angeles CA 90061-2363
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Assistant 126800000X 81182 California

Profile Details

NPI number 1588261119
LBN Legal business name Conners, Andrea
Credentials Registered Dental Assistant (RDA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2020
Last updated Oct 6th, 2020 - about 5 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 1588261119 NPPES
California MEDICAID 81182

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