Tanada, Geraldine
Tanada, Geraldine is an individual health care provider with primary practice located at 455 S C St , Oxnard CA 93030-5917. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Tanada, Geraldine can be contacted via phone (805) 483-9586.Contact Information
Primary practice address
455 S C St
Oxnard CA 93030-5917
Phone: (805) 483-9586
Fax: (805) 483-1486
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 44098 | California |
Profile Details
| NPI number | 1225175862 |
|---|---|
| LBN Legal business name | Tanada, Geraldine |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 31st, 2007 |
| Last updated | Jul 9th, 2007 - about 18 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 | 1225175862 | NPPES |
| California | MEDICAID | D44098 |
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