Reynaga Gonzalez, Gerardo
Reynaga Gonzalez, Gerardo is an individual health care provider with primary practice located at 2168 La Mirada Dr , El Sobrante CA 94803-3216. He recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as his primary health care specialty. Reynaga Gonzalez, Gerardo can be contacted via phone (510) 504-3005.Contact Information
Primary practice address
2168 La Mirada Dr
El Sobrante CA 94803-3216
Phone: (510) 504-3005
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | 876 | California |
Profile Details
| NPI number | 1093461543 |
|---|---|
| LBN Legal business name | Reynaga Gonzalez, Gerardo |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 23rd, 2022 |
| Last updated | Feb 23rd, 2022 - about 3 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 | 1093461543 | NPPES |
| California | Other | 876 | PRIVATE |
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