Martinez, Adriana Vanessa

Martinez, Adriana Vanessa is an individual health care provider with primary practice located at 15350 Nordhoff St Ste A , North Hills CA 91343-2234. She recently has only one registered license in Dental Providers / Dental Assistant, which is considered as her primary health care specialty. Martinez, Adriana Vanessa can be contacted via phone (310) 820-9933.

Contact Information

Primary practice address
15350 Nordhoff St Ste A North Hills CA 91343-2234
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Assistant 126800000X 81293 California

Profile Details

NPI number 1114531423
LBN Legal business name Martinez, Adriana Vanessa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 3rd, 2020
Last updated Sep 3rd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114531423 NPPES
California MEDICAID 81293

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