Mamani, Cesar

Mamani, Cesar is an individual health care provider with primary practice located at 22675 Alessandro Blvd , Moreno Valley CA 92553-8551. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Mamani, Cesar can be contacted via phone (951) 571-2300.

Contact Information

Primary practice address
22675 Alessandro Blvd Moreno Valley CA 92553-8551
Fax: (951) 571-2330
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 52428 California

Profile Details

NPI number 1871636845
LBN Legal business name Mamani, Cesar
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2007
Last updated Jan 13th, 2012 - about 12 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 1871636845 NPPES
California Other HAP70275G PACT
California Other FHC70275G PACT

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