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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053934778 NPPES
California MEDICAID 60484

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