Deleon, Mildred Madelyn

Deleon, Mildred Madelyn is an individual health care provider with primary practice located at 12165 Aegean St , Norwalk CA 90650-1906. She recently has only one registered license in Dental Providers / Dental Assistant, which is considered as her primary health care specialty. Deleon, Mildred Madelyn can be contacted via phone (562) 324-3754.

Contact Information

Primary practice address
12165 Aegean St Norwalk CA 90650-1906
Phone: (562) 324-3754
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Assistant 126800000X

Profile Details

NPI number 1770121584
LBN Legal business name Deleon, Mildred Madelyn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2019
Last updated Dec 12th, 2019 - about 6 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 1770121584 NPPES
California MEDICAID 62580

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