Miranda, Raquel
Miranda, Raquel is an individual health care provider with primary practice located at 2604 S Vermont Ave Ste F , Los Angeles CA 90007-2298. She recently has only one registered license in Dental Providers / Dental Assistant, which is considered as her primary health care specialty. Miranda, Raquel can be contacted via phone (323) 731-3333.Contact Information
Primary practice address
2604 S Vermont Ave Ste F
Los Angeles CA 90007-2298
Phone: (323) 731-3333
Fax: (323) 731-7626
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Assistant | 126800000X | RDA72406 | California |
Profile Details
| NPI number | 1073115325 |
|---|---|
| LBN Legal business name | Miranda, Raquel |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 11th, 2020 |
| Last updated | Nov 11th, 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 | 1073115325 | NPPES |
| California | MEDICAID | RDA72406 |
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