Pastor, Rommel Lato

Pastor, Rommel Lato is an individual health care provider with primary practice located at 1839 Vassar St , Glendale CA 91204-2936. He recently has only one registered license in Dental Providers / Dental Assistant, which is considered as his primary health care specialty. Pastor, Rommel Lato can be contacted via phone (310) 408-9892.

Contact Information

Primary practice address
1839 Vassar St Glendale CA 91204-2936
Phone: (310) 408-9892
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Assistant 126800000X 85423 California

Profile Details

NPI number 1386292472
LBN Legal business name Pastor, Rommel Lato
Credentials Registered Dental Assistant (RDA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2019
Last updated Aug 31st, 2019 - about 6 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 1386292472 NPPES
California MEDICAID 85423

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