Garcia, Mellisa

Garcia, Mellisa is an individual health care provider with primary practice located at 24350 Gabriel St , Moreno Valley CA 92551-3639. She recently has only one registered license in Dental Providers / Dental Assistant, which is considered as her primary health care specialty. Garcia, Mellisa can be contacted via phone (951) 867-1348.

Contact Information

Primary practice address
24350 Gabriel St Moreno Valley CA 92551-3639
Phone: (951) 867-1348
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Assistant 126800000X 93699 California

Profile Details

NPI number 1346843257
LBN Legal business name Garcia, Mellisa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2020
Last updated Nov 21st, 2020 - about 5 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1346843257 NPPES
California MEDICAID 93699

Popular Providers