Ota, Marvin Eiji
Ota, Marvin Eiji is an sole proprietor health care provider with primary practice located at 11834 Bryant St Ste 103 , Yucaipa CA 92399-3848. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Ota, Marvin Eiji can be contacted via phone (909) 797-8090.Contact Information
Primary practice address
11834 Bryant St Ste 103
Yucaipa CA 92399-3848
Phone: (909) 797-8090
Fax: (909) 797-8090
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 28214 | California |
Profile Details
| NPI number | 1871675165 |
|---|---|
| LBN Legal business name | Ota, Marvin Eiji |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 19th, 2006 |
| Last updated | Jul 9th, 2007 - about 18 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 | 1871675165 | NPPES |
| California | MEDICAID | B28214-01 |
Popular Providers
-
Seheult, Carl K
32999 Yucaipa Blvd Ste 114, Yucaipa CA 92399-1963 -
Leng, Nathaniel Wen-Wei
34880 Yucaipa Blvd , Yucaipa CA 92399-4235 -
Ramos, Richard Robert
34636 County Line Rd Ste 19 , Yucaipa CA 92399-5393 -
Park, Sooh
34880 Yucaipa Blvd , Yucaipa CA 92399-4235 -
Moya, Mervin
33733 Yucaipa Blvd Ste 9, Yucaipa CA 92399-2256 -
Dossantos, Mauricio
12033 4Th St Ste 7 , Yucaipa CA 92399-2755 -
Johnson, Neal Antonio
34366 Yucaipa Blvd Ste K , Yucaipa CA 92399-2497 -
Wolfram, Steven Mark
11834 Bryant St Suite #104, Yucaipa CA 92399-3848