De Jesus, Jose Daniel
De Jesus, Jose Daniel is an sole proprietor health care provider with primary practice located at 12121 Wilshire Blvd , Los Angeles CA 90025-1123. He recently has only one registered license in Dental Providers / Dental Assistant, which is considered as his primary health care specialty. De Jesus, Jose Daniel can be contacted via phone (310) 820-9933.Contact Information
Primary practice address
12121 Wilshire Blvd
Los Angeles CA 90025-1123
Phone: (310) 820-9933
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Assistant | 126800000X | 74403 | California |
Profile Details
| NPI number | 1639400609 |
|---|---|
| LBN Legal business name | De Jesus, Jose Daniel |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 14th, 2010 |
| Last updated | Jan 14th, 2010 - about 15 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 | 1639400609 | NPPES |
| California | Other | 74403 | DENTAL BOARD |
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