Tobon, Beatriz Ossa

Tobon, Beatriz Ossa is an individual health care provider with primary practice located at 200 W Glenoaks Blvd Suite #102, Glendale CA 91202-3608. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Tobon, Beatriz Ossa can be contacted via phone (818) 247-0351.

Contact Information

Primary practice address
200 W Glenoaks Blvd Suite #102 Glendale CA 91202-3608
Fax: (818) 247-4695
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 37939 California

Profile Details

NPI number 1215093034
LBN Legal business name Tobon, Beatriz Ossa
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2006
Last updated Jul 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215093034 NPPES
California MEDICAID B3793901

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