Pineda, Mauricio

Pineda, Mauricio is an individual health care provider with primary practice located at 9050 Whittier Blvd , Pico Rivera CA 90660-2410. He recently has only one registered license in Dental Providers / Dental Assistant, which is considered as his primary health care specialty. Pineda, Mauricio can be contacted via phone (562) 456-1111.

Contact Information

Primary practice address
9050 Whittier Blvd Pico Rivera CA 90660-2410
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Assistant 126800000X RDA86217 California

Profile Details

NPI number 1760900914
LBN Legal business name Pineda, Mauricio
Credentials RDA III
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2017
Last updated Sep 7th, 2017 - about 8 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 1760900914 NPPES
California MEDICAID RDA86217

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