Raymundo Dental Practice Inc

LBN: Raymundo Dental Practice Inc
Raymundo Dental Practice Inc is an health care organization with primary practice located at 170 E Foothill Blvd Ste B , Arcadia CA 91006-2569. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Raymundo Dental Practice Inc can be contacted via phone (626) 359-4595, or through Raymundo, Ronalyn T. via phone (626) 359-4595.

Contact Information

Primary practice address
170 E Foothill Blvd Ste B Arcadia CA 91006-2569
Fax: (626) 359-4596
Website:
Authorized official contact:
Name: Raymundo, Ronalyn T. Doctor of Dental Surgery (DDS)

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 40194 California

Profile Details

NPI number 1477857571
LBN Legal business name Raymundo Dental Practice Inc
DBA Doing business as
Authorized official Raymundo, Ronalyn T. Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 4th, 2011
Last updated Jan 28th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477857571 NPPES
California MEDICAID B40194-01
California Other 833572

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