Patrick, Candice Renee
Patrick, Candice Renee is an individual health care provider with primary practice located at 12121 Wilshire Blvd Ste 111 , Los Angeles CA 90025-1123. She recently has only one registered license in Dental Providers / Dental Assistant, which is considered as her primary health care specialty. Patrick, Candice Renee can be contacted via phone (310) 897-3401.Contact Information
Primary practice address
12121 Wilshire Blvd Ste 111
Los Angeles CA 90025-1123
Phone: (310) 897-3401
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Assistant | 126800000X | 80290 | California |
Profile Details
| NPI number | 1922672146 |
|---|---|
| LBN Legal business name | Patrick, Candice Renee |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 13th, 2021 |
| Last updated | May 13th, 2021 - about 4 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 | 1922672146 | NPPES |
| California | MEDICAID | 80290 |
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