Gabuya, Nino Herald Chan

Gabuya, Nino Herald Chan is an individual health care provider with primary practice located at 21229 Hawthorne Blvd , Torrance CA 90503-5501. He recently has only one registered license in Dental Providers / Dental Assistant, which is considered as his primary health care specialty. Gabuya, Nino Herald Chan can be contacted via phone (310) 792-5600.

Contact Information

Primary practice address
21229 Hawthorne Blvd Torrance CA 90503-5501
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Assistant 126800000X 65717 California

Profile Details

NPI number 1417194051
LBN Legal business name Gabuya, Nino Herald Chan
Credentials Registered Dental Assistant (RDA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2009
Last updated Jan 20th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1417194051 NPPES
California Other 65717 RDA LICENCES

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