Hulbert, Jia

Hulbert, Jia is an individual health care provider with primary practice located at 1207 W 144Th St Apt 3 , Gardena CA 90247-2540. She recently has only one registered license in Dental Providers / Dental Assistant, which is considered as her primary health care specialty. Hulbert, Jia can be contacted via phone (818) 434-5735.

Contact Information

Primary practice address
1207 W 144Th St Apt 3 Gardena CA 90247-2540
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Assistant 126800000X
Dental Providers / Dental Assistant 126800000X RDA94824 California

Profile Details

NPI number 1154939049
LBN Legal business name Hulbert, Jia
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2020
Last updated Jul 17th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154939049 NPPES
California MEDICAID RDA94824

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