Tayenaka, Ted E
Tayenaka, Ted E is an sole proprietor health care provider with primary practice located at 3532 Howard Ave Suite 201, Los Alamitos CA 90720-3681. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Tayenaka, Ted E can be contacted via phone (562) 596-0100.Contact Information
Primary practice address
3532 Howard Ave Suite 201
Los Alamitos CA 90720-3681
Phone: (562) 596-0100
Fax: (562) 596-0155
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 37936 | California |
Profile Details
| NPI number | 1396895751 |
|---|---|
| LBN Legal business name | Tayenaka, Ted E |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 10th, 2007 |
| Last updated | Jul 9th, 2007 - about 17 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 | 1396895751 | NPPES |
| California | MEDICAID | B37936-01 |
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