Rassibi, Edmond
Rassibi, Edmond is an individual health care provider with primary practice located at 21712 Sherman Way , Canoga Park CA 91303-1931. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Rassibi, Edmond can be contacted via phone (818) 883-6634.Contact Information
Primary practice address
21712 Sherman Way
Canoga Park CA 91303-1931
Phone: (818) 883-6634
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 54596 | California |
Profile Details
| NPI number | 1265571350 |
|---|---|
| LBN Legal business name | Rassibi, Edmond |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 5th, 2007 |
| Last updated | Oct 24th, 2014 - about 10 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 | 1265571350 | NPPES |
| California | Other | D54596 | DENTICAL PROVIDER NUMBER |
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