Demendoza, Patrice H
Demendoza, Patrice H is an individual health care provider with primary practice located at 219 Springfield Ave Apt B , Huntington Beach CA 92648-3139. She recently has only one registered license in Dental Providers / Dental Assistant, which is considered as her primary health care specialty. Demendoza, Patrice H can be contacted via phone (714) 330-8779.Contact Information
Primary practice address
219 Springfield Ave Apt B
Huntington Beach CA 92648-3139
Phone: (714) 330-8779
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Assistant | 126800000X | 46979 | California |
Profile Details
| NPI number | 1679123319 |
|---|---|
| LBN Legal business name | Demendoza, Patrice H |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 15th, 2019 |
| Last updated | Sep 15th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679123319 | NPPES |
| California | MEDICAID | 46979 |
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