Rosas, Martha Olga

Rosas, Martha Olga is an individual health care provider with primary practice located at 14382 Chatsworth Dr , San Fernando CA 91340-4307. She recently has only one registered license in Dental Providers / Dental Assistant, which is considered as her primary health care specialty. Rosas, Martha Olga can be contacted via phone (818) 401-5191.

Contact Information

Primary practice address
14382 Chatsworth Dr San Fernando CA 91340-4307
Phone: (818) 401-5191
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Assistant 126800000X 68267 California

Profile Details

NPI number 1740704204
LBN Legal business name Rosas, Martha Olga
Credentials DENTAL
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2017
Last updated Jul 26th, 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 1740704204 NPPES
California MEDICAID 68267

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