Medrano, Ana Dina
Medrano, Ana Dina is an individual health care provider with primary practice located at 763 Rio Rancho Rd Ste 120 , Pomona CA 91766-7015. She recently has only one registered license in Dental Providers / Dental Assistant, which is considered as her primary health care specialty. Medrano, Ana Dina can be contacted via phone (909) 242-7989.Contact Information
Primary practice address
763 Rio Rancho Rd Ste 120
Pomona CA 91766-7015
Phone: (909) 242-7989
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dental Assistant | 126800000X | 60484 | California |
Profile Details
NPI number | 1053934778 |
---|---|
LBN Legal business name | Medrano, Ana Dina |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 28th, 2020 |
Last updated | May 28th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1053934778 | NPPES |
California | MEDICAID | 60484 |
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