Macias, Mayra Alejandra
Macias, Mayra Alejandra is an individual health care provider with primary practice located at 179 N Tustin St , Orange CA 92867-7716. She recently has only one registered license in Dental Providers / Dental Assistant, which is considered as her primary health care specialty. Macias, Mayra Alejandra can be contacted via phone (714) 598-3923.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Assistant | 126800000X | 90133 | California |
Profile Details
| NPI number | 1225653488 |
|---|---|
| LBN Legal business name | Macias, Mayra Alejandra |
| Credentials | Registered Dental Assistant (RDA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 13th, 2020 |
| Last updated | Jun 13th, 2020 - about 4 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 | 1225653488 | NPPES |
| California | MEDICAID | 90133 |
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