Pena, Rebecca Irene Alcazaren
Pena, Rebecca Irene Alcazaren is an individual health care provider with primary practice located at 5445 Del Amo Blvd Suite 103, Lakewood CA 90712-2760. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Pena, Rebecca Irene Alcazaren can be contacted via phone (562) 920-1726.Contact Information
Primary practice address
5445 Del Amo Blvd Suite 103
Lakewood CA 90712-2760
Phone: (562) 920-1726
Fax: (562) 920-1728
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 49181 | California |
Profile Details
| NPI number | 1457368425 |
|---|---|
| LBN Legal business name | Pena, Rebecca Irene Alcazaren |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 2nd, 2006 |
| Last updated | Mar 7th, 2023 - about 2 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 | 1457368425 | NPPES |
| California | Other | 49181 | LIC NUMBER |
| California | Other | 1416870 | LIC NUMBER |
| California | Other | G9242401 | LIC NUMBER |
| California | Other | B4918101 | LIC NUMBER |
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