Guzman Garcia, Diego Jesus

Guzman Garcia, Diego Jesus is an individual health care provider with primary practice located at 13137 Adeline Ave , Moreno Valley CA 92553-5930. He recently has only one registered license in Dental Providers / Dental Assistant, which is considered as his primary health care specialty. Guzman Garcia, Diego Jesus can be contacted via phone (626) 722-2097.

Contact Information

Primary practice address
13137 Adeline Ave Moreno Valley CA 92553-5930
Phone: (626) 722-2097
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Assistant 126800000X OA48872 California

Profile Details

NPI number 1255813416
LBN Legal business name Guzman Garcia, Diego Jesus
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 4th, 2018
Last updated Sep 4th, 2018 - about 7 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 1255813416 NPPES
California MEDICAID OA48872

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