Trejo, Paola Ruby
Trejo, Paola Ruby is an individual health care provider with primary practice located at 3951 Agnes Ave Unit B , Lynwood CA 90262-4418. She recently has only one registered license in Dental Providers / Dental Assistant, which is considered as her primary health care specialty. Trejo, Paola Ruby can be contacted via phone (310) 866-0993.Contact Information
Primary practice address
3951 Agnes Ave Unit B
Lynwood CA 90262-4418
Phone: (310) 866-0993
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Assistant | 126800000X | 89136 | California |
Profile Details
| NPI number | 1467971937 |
|---|---|
| LBN Legal business name | Trejo, Paola Ruby |
| Credentials | Registered Dental Assistant (RDA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 15th, 2017 |
| Last updated | Jul 21st, 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 | 1467971937 | NPPES |
| California | MEDICAID | 89136 |
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