Gutierrez, Nayelly Ruby
Gutierrez, Nayelly Ruby is an individual health care provider with primary practice located at 149 S Kern Ave , Los Angeles CA 90022-1626. She recently has only one registered license in Dental Providers / Dental Assistant, which is considered as her primary health care specialty. Gutierrez, Nayelly Ruby can be contacted via phone (323) 365-1448.Contact Information
Primary practice address
149 S Kern Ave
Los Angeles CA 90022-1626
Phone: (323) 365-1448
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Assistant | 126800000X | 87923 | California |
Profile Details
| NPI number | 1366065682 |
|---|---|
| LBN Legal business name | Gutierrez, Nayelly Ruby |
| Credentials | Registered Dental Assistant (RDA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 20th, 2020 |
| Last updated | May 20th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366065682 | NPPES |
| California | MEDICAID | 87923 |
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