Ortiz, Rey Miranda
Ortiz, Rey Miranda is an sole proprietor health care provider with primary practice located at 347 Gellert Blvd Suite L, Daly City CA 94015-2664. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Ortiz, Rey Miranda can be contacted via phone (650) 992-7303.Contact Information
Primary practice address
347 Gellert Blvd Suite L
Daly City CA 94015-2664
Phone: (650) 992-7303
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DY030964 | California |
Profile Details
| NPI number | 1639219231 |
|---|---|
| LBN Legal business name | Ortiz, Rey Miranda |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 6th, 2007 |
| Last updated | Jul 9th, 2007 - about 17 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 | 1639219231 | NPPES |
| California | MEDICAID | DS0309640 |
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