Penoliar, Randy Raymundo

Penoliar, Randy Raymundo is an individual health care provider with primary practice located at 15350 Nordhoff St Unit A15350 , North Hills CA 91343-2234. He recently has only one registered license in Dental Providers / Dental Assistant, which is considered as his primary health care specialty. Penoliar, Randy Raymundo can be contacted via phone (818) 724-8416.

Contact Information

Primary practice address
15350 Nordhoff St Unit A15350 North Hills CA 91343-2234
Phone: (818) 724-8416
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Assistant 126800000X

Profile Details

NPI number 1053923540
LBN Legal business name Penoliar, Randy Raymundo
Credentials Registered Dental Assistant (RDA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2020
Last updated Aug 18th, 2020 - about 5 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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