Maldonado, Octavio

Maldonado, Octavio is an individual health care provider with primary practice located at 12730 Hawthorne Blvd Ste D , Hawthorne CA 90250-3919. He recently has only one registered license in Dental Providers / Dental Assistant, which is considered as his primary health care specialty. Maldonado, Octavio can be contacted via phone (310) 644-4000.

Contact Information

Primary practice address
12730 Hawthorne Blvd Ste D Hawthorne CA 90250-3919
Phone: (310) 644-4000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Assistant 126800000X 271 California

Profile Details

NPI number 1942514468
LBN Legal business name Maldonado, Octavio
Credentials D.A.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2010
Last updated Jul 27th, 2010 - about 15 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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