Corril, Leticia
Corril, Leticia is an individual health care provider with primary practice located at 1669 E 112Th St , Los Angeles CA 90059-1947. She recently has only one registered license in Dental Providers / Dental Assistant, which is considered as her primary health care specialty. Corril, Leticia can be contacted via phone (323) 691-0151.Contact Information
Primary practice address
1669 E 112Th St
Los Angeles CA 90059-1947
Phone: (323) 691-0151
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Assistant | 126800000X | 78895 | California |
Profile Details
| NPI number | 1801341508 |
|---|---|
| LBN Legal business name | Corril, Leticia |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 23rd, 2016 |
| Last updated | Aug 23rd, 2016 - about 9 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 | 1801341508 | NPPES |
| California | MEDICAID | 78895 |
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