De La Rocha, Edgar

De La Rocha, Edgar is an individual health care provider with primary practice located at 4826 Elizabeth St , Cudahy CA 90201-5206. He recently has only one registered license in Dental Providers / Dental Assistant, which is considered as his primary health care specialty. De La Rocha, Edgar can be contacted via phone (323) 560-3659.

Contact Information

Primary practice address
4826 Elizabeth St Cudahy CA 90201-5206
Phone: (323) 560-3659
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Assistant 126800000X California

Profile Details

NPI number 1114164704
LBN Legal business name De La Rocha, Edgar
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2009
Last updated Jan 19th, 2009 - about 16 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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