Mendoza, Rosalyn

Mendoza, Rosalyn is an individual health care provider with primary practice located at 18264 Ramona Ave , Fontana CA 92336-3060. She recently has only one registered license in Dental Providers / Dental Assistant, which is considered as her primary health care specialty. Mendoza, Rosalyn can be contacted via phone (626) 536-2249.

Contact Information

Primary practice address
18264 Ramona Ave Fontana CA 92336-3060
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Assistant 126800000X 87846 California

Profile Details

NPI number 1649878968
LBN Legal business name Mendoza, Rosalyn
Credentials Registered Dental Assistant (RDA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 9th, 2020
Last updated Oct 9th, 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 1649878968 NPPES
California MEDICAID 87846

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